Active NPI
Beth Welch, PT
- Physical Therapist
- Plymouth, MA
National Provider Identifier
1508949678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15758
- Practice address
- 118 Long Pond Rd Ste 205
Plymouth, MA 02360-2662 - Phone
- (508) 591-8352
- Fax
- (508) 927-4242
- NPI assigned
- Oct 23, 2006
- 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 | 15758 | MA | Primary |
Addresses
Primary practice location
118 Long Pond Rd Ste 205
Plymouth, MA 02360-2662
Mailing address
1 Credit Union Way FL3
Randolph, MA 02368-4633
Phone (781) 961-3370
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15758 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1508949678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CREDIT UNION WAY FL3",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684633",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 LONG POND RD STE 205",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602662",
"telephone_number": "508-591-8352",
"fax_number": "508-927-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "BETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.