Individual provider Active NPI

Gregory Welch

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1669422218
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2152 Issued in FL
Practice address
12651 S Dixie Hwy
Suite 205
Miami, FL 33156-5975
Phone
(305) 232-9222
Fax
(305) 232-8808
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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 OT2152 FL Primary

Addresses

Primary practice location

12651 S Dixie Hwy
Suite 205
Miami, FL 33156-5975

Mailing address

12651 S Dixie Hwy
Suite 205
Miami, FL 33156-5975
Phone (305) 232-9222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070110000521 FL Practitioner - Occupational Therapist in Private Practice 4789684051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physical Therapy Center IncGroup PAC ID 3072695584, 4 clinicians

Practice addresses (Care Compare)

12651 S Dixie Hwy
Suite 205
Pinecrest, FL 33156-5955
Phone (305) 232-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT2152FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy Center Inc CurrentSince Jun 1, 2007 Accepting new patients
Healis Rehabilitation Center Past Accepting new patients

Locations

4005 NW 114th Ave
Unit 2
Doral, FL 33178
Phone (305) 591-2988

12651 S Dixie Hwy
Ste 205
Pinecrest, FL 33156
Phone (305) 232-9222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1669422218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 S DIXIE HWY",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565975",
            "telephone_number": "305-232-9222",
            "fax_number": "305-232-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 S DIXIE HWY",
            "address_2": "SUITE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565975",
            "telephone_number": "305-232-9222",
            "fax_number": "305-232-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.