Active NPI
Dawn Lynn Welborn-Mabrey, PT
- Pediatric Physical Therapist
- Elberfeld, IN
National Provider Identifier
1235257908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 05001788A
- Practice address
- 10600 Seven Hills Rd
Elberfeld, IN 47613-9468 - Phone
- (812) 983-4309
- Fax
- (812) 983-3071
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 05001788A | IN | Primary |
Addresses
Primary practice location
10600 Seven Hills Rd
Elberfeld, IN 47613-9468
Mailing address
10600 Seven Hills Rd
Elberfeld, IN 47613-9468
Phone (812) 983-4309
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001788A | IN | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childs Play Therapy Team, LLC | Pediatrics | Current | Accepting new patients |
Locations
400 S 3rd Ave
Haubstadt, IN 47639
Phone (812) 385-6582
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235257908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 SEVEN HILLS RD",
"city": "ELBERFELD",
"state": "IN",
"postal_code": "476139468",
"telephone_number": "812-983-4309",
"fax_number": "812-983-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 SEVEN HILLS RD",
"city": "ELBERFELD",
"state": "IN",
"postal_code": "476139468",
"telephone_number": "812-983-4309",
"fax_number": "812-983-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELBORN-MABREY",
"first_name": "DAWN",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IN",
"license": "05001788A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elberfeld, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.