Lisa Jean Welton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12602 Issued in CA

Practice address

2600 East Pacific Coast Highway
Ste. 240
Corona del Mar, CA 92625

Phone

(949) 640-2121

Fax

(949) 640-2631

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Laguna Beach Rehab, Inc.

  • Clinic/Center
  • Newport Beach, CA
  • NPI 1164466785

  Physical Therapist

  NPD (past)
• Premier Physical Therapy, Inc.

  • Physical Therapist
  • Downey, CA
  • NPI 1184610750
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295743102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 MEREDITH DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464926",
            "telephone_number": "714-330-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 EAST PACIFIC COAST HIGHWAY",
            "address_2": "STE. 240",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "92625",
            "telephone_number": "949-640-2121",
            "fax_number": "949-640-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTON",
        "first_name": "LISA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "12602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burr Vonmaur, M.D.
• Ashley Waasted, MS, LMFT
• Jarfa Wabs, LMFT
• Wdowin Naturopathic Inc
• Garrett Emanon Wdowin, NMD
• Harish Yalamanchili, M.D.
• Anthony Marcus Yniguez, FNP-C
• Jacqueline Younesi, DDS
• Jamie Young, L.M.F.T.
• Younger & Associates DDS PC

• Physical Therapist in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Physical Therapist in California

• 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.

Verify at the official NPI Registry.