Active NPI
Polly Ann Welch, DPT
- Physical Therapist
- Le Roy, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036363
- Practice address
- 3 West Ave
Le Roy, NY 14482-1381 - Phone
- (585) 768-4550
- Fax
- (585) 768-2335
- NPI assigned
- Jul 28, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 013830 | OH | |
| Orthopedic Physical Therapist | 2251X0800X | 006065 | KY | |
| Physical Therapist | 225100000X | 036363 | NY | Primary |
Addresses
Primary practice location
3 West Ave
Le Roy, NY 14482-1381
Mailing address
3 West Ave
Le Roy, NY 14482-1381
Phone (585) 768-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 W Ave
Le Roy, NY 14482-1381
Phone (585) 768-4550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036363 | NY | MD | Physical Therapist |
| 013830 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Professionals, PC | Physical Therapist | Current | Accepting new patients |
| Genesee Valley Physical Therapy & Sports Rehab., P.C. | Physical Therapist | Current | Accepting new patients |
Locations
5 Alva Pl
Batavia, NY 14020
Phone (585) 343-9496
3506 Thomas Dr
Lakeville, NY 14480
Phone (585) 346-0060
3 West Ave
Le Roy, NY 14482
Phone (585) 224-5179
2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Rochester, NY
- NPI 1407910953
-
- Physical Therapist
- Lakeville, NY
- NPI 1083834758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1710233614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WEST AVE",
"city": "LE ROY",
"state": "NY",
"postal_code": "144821381",
"telephone_number": "585-768-4550",
"fax_number": "585-768-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WEST AVE",
"city": "LE ROY",
"state": "NY",
"postal_code": "144821381",
"telephone_number": "585-768-4550",
"fax_number": "585-768-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "POLLY",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-28",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "013830",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "KY",
"license": "006065",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Le Roy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.