Individual provider Active NPI

Samantha Welchman, DPT

  • Physical Therapist
  • Warren, RI
National Provider Identifier
1215604566
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03417 Issued in RI
Practice address
426 Metacom Ave
Warren, RI 02885-2711
Phone
(401) 903-2167
Fax
(401) 903-4976
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT03417 RI Primary

Addresses

Primary practice location

426 Metacom Ave
Warren, RI 02885-2711

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Ventures Physical Therapy, Inc. Physical Therapist CurrentSince Dec 27, 2022 Accepting new patients
Joint Ventures Physical Therapy, Inc. CurrentSince Dec 27, 2022 Accepting new patients
MK Rehabilitation, LLC Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients

Locations

10 Liberty Sq
Bsmt 1
Boston, MA 02109

533 Commonwealth Ave
Ste 1
Boston, MA 02215

18 Snow Rd
Marshfield, MA 02050

57 Snow Rd
Marshfield, MA 02050
Phone (781) 834-4600

479 Washington St
Ste 5
Quincy, MA 02169
Phone 61753611610

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1215604566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 METACOM AVE",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852711",
            "telephone_number": "401-903-2167",
            "fax_number": "401-903-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCHMAN",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.