Corey L Welch, D.P.T.

Key facts

NPI

1497067946

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT 24136 (FL)

Practice address

8 NW 91St St
El Portal, FL 33150-2255

Phone

(786) 514-8507

NPI assigned

Jul 12, 2010

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 5, 2011.

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1497067946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NW 91ST ST",
            "city": "EL PORTAL",
            "state": "FL",
            "postal_code": "331502255",
            "telephone_number": "786-514-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NW 91ST ST",
            "city": "EL PORTAL",
            "state": "FL",
            "postal_code": "331502255",
            "telephone_number": "786-514-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "COREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Portal, FL

• Solera Health Systems
• Yuslady Soris Gallardo
• Yilaidis Villalobo
• Visions Healthcare - El Portal Inc
• Patricia Vitale
• Jerrett Winder, RN

All providers in El Portal, FL · Physical Therapist in Florida