Individual provider Active NPI

Chelsea Anne Welch, PT, DPT

  • Physical Therapist
  • Corning, NY
National Provider Identifier
1629376561
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033407-1 Issued in NY
Practice address
139 Walnut St
Ste 101
Corning, NY 14830-2545
Phone
(607) 684-7287
Fax
(607) 238-2050
NPI assigned
Mar 2, 2011
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033407 NY
Physical Therapist 225100000X 033407-1 NY Primary

Addresses

Primary practice location

139 Walnut St
Ste 101
Corning, NY 14830-2545

Mailing address

223 Pine St
Corning, NY 14830-3131
Phone (607) 329-0919

Other identifiers 1

IdentifierTypeStateIssuer
12256858OtherNYCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 6072382050 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509001739 NY Practitioner - Physical Therapist in Private Practice 8123361326 Practice locations: Corning, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 Walnut St
Suite 101
Corning, NY 14830-2545
Phone (607) 684-7287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033407-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Physical Therapy Physical Therapist CurrentSince Apr 16, 2021 Accepting new patients

Locations

139 Walnut St
Ste 101
Corning, NY 14830
Phone (607) 684-7287

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1629376561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 PINE ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303131",
            "telephone_number": "607-329-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WALNUT ST",
            "address_2": "STE 101",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302545",
            "telephone_number": "607-684-7287",
            "fax_number": "607-238-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CHELSEA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033407",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033407-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12256858",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6072382050",
            "affiliation": "N",
            "endpointDescription": "Theraoffice EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Theraoffice software",
            "address_1": "139 WALNUT ST",
            "address_2": "STE 101",
            "city": "CORNING",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148302545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.

Verify at the official NPI Registry.