Individual provider Active NPI

Elizabeth Michele Welch, OTR/L

  • Occupational Therapist
  • Florence, SC
National Provider Identifier
1457897183
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4880 Issued in SC
Practice address
2439 Willwood Dr
McLeod Outpatient Rehab Sports Medicine
Florence, SC 29501-3904
Phone
(843) 777-2196
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4880 SC Primary

Addresses

Primary practice location

2439 Willwood Dr
McLeod Outpatient Rehab Sports Medicine
Florence, SC 29501-3904

Mailing address

2439 Willwood Dr
McLeod Outpatient Rehab Sports Medicine
Florence, SC 29501-3904
Phone (843) 777-2196

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

LicenseStateTypeSpecialty
4880SCMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1457897183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 WILLWOOD DR",
            "address_2": "MCLEOD OUTPATIENT REHAB SPORTS MEDICINE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013904",
            "telephone_number": "843-777-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 WILLWOOD DR",
            "address_2": "MCLEOD OUTPATIENT REHAB SPORTS MEDICINE",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013904",
            "telephone_number": "843-777-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "ELIZABETH",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.