Active NPI
Gina R Welch, PT
- Physical Therapist
- Dyersburg, TN
National Provider Identifier
1336279009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3316
- Practice address
- 620 Mall Blvd
Dyersburg, TN 38024-1649 - Phone
- (731) 285-5552
- Fax
- (731) 285-5350
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3316 | TN | Primary |
Addresses
Primary practice location
620 Mall Blvd
Dyersburg, TN 38024-1649
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (866) 800-9147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Truman Blvd
Caruthersville, MO 63830-2477
Phone (573) 919-7990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3316 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Company | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Caruthersville, MO
- NPI 1073375861
-
- Physical Therapist
- Nashville, TN
- NPI 1396704094
-
- Physical Therapist
- Dyersburg, TN
- NPI 1619992450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336279009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681478",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681478",
"telephone_number": "866-800-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 MALL BLVD",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380241649",
"telephone_number": "731-285-5552",
"fax_number": "731-285-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "GINA",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "3316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dyersburg, TN
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.