Individual provider Active NPI

Nicholas Guy Welch, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1689681975
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2371 Issued in AZ
Practice address
3011 S Lindsay Rd
Suite 114
Gilbert, AZ 85295-4332
Phone
(480) 814-8222
Fax
(480) 814-8225
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2371 AZ Primary

Addresses

Primary practice location

3011 S Lindsay Rd
Suite 114
Gilbert, AZ 85295-4332

Mailing address

284 S Rochester CT
Gilbert, AZ 85296-9443
Phone (480) 577-1012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817001131 AZ Practitioner - Physical Therapist in Private Practice 2769378827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welch Physical Therapy and Sports Medicine, LLCGroup PAC ID 3779479837, 5 clinicians

Practice addresses (Care Compare)

2524 S San Tan Village Pkwy
Suite 107
Gilbert, AZ 85295-0299
Phone (480) 814-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2371AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Jul 1, 2002 Accepting new patients

Locations

670 N Arizona Ave
Ste 1
Chandler, AZ 85225
Phone (480) 786-8000

3011 S Lindsay Rd
Ste 114
Gilbert, AZ 85295
Phone (480) 814-8222

2524 S San Tan Village Pkwy
Ste 107
Gilbert, AZ 85295
Phone (480) 814-8222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1689681975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 S ROCHESTER CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969443",
            "telephone_number": "480-577-1012",
            "fax_number": "480-814-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 S LINDSAY RD",
            "address_2": "SUITE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954332",
            "telephone_number": "480-814-8222",
            "fax_number": "480-814-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "NICHOLAS",
        "middle_name": "GUY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.