Heidi Marie Welch, P.T., A.T.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004721 Issued in IA

Practice address

32 E. Main Street
Marshalltown, IA 50158-4903

Phone

(641) 753-6636

Fax

(641) 753-1005

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Heidi Marie Moening Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sportsplus Physical Therapy GC LLC

  • Physical Therapy Clinic/Center
  • Grundy Center, IA
  • NPI 1790140234

  Physical Therapist

  NPD (past)
• Sportsplus Sports Medicine and Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Marshalltown, IA
  • NPI 1467422014
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1275634354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 EAST MAIN STREET",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584903",
            "telephone_number": "641-753-6636",
            "fax_number": "641-753-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E. MAIN STREET",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584903",
            "telephone_number": "641-753-6636",
            "fax_number": "641-753-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10527",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004721",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "645-039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40472000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "MOENING",
            "middle_name": "MARIE",
            "credential": "P.T., A.T.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyra Wanatee-Flores, LMSW
• India Warren, PA-C
• Cheryl Watson, RPH
• Dixie M Weiss, RPH
• Larry W Weiss, MD
• Matthew C Welp, PHARMD
• Blaine Brian Westemeyer, M.D.
• Marie Antoinette Whannel, ARNP
• Jeff Wheeler
• Bailey White

• Physical Therapist in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.