Individual provider Active NPI

Alicia Marie Welby, PTA

  • Physical Therapy Assistant
  • Scranton, PA
National Provider Identifier
1871193102
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI005490 Issued in PA
Practice address
1003 N Keyser Ave
Scranton, PA 18504-9728
Phone
(570) 343-7663
Fax
(570) 343-7664
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI005490 PA Primary

Addresses

Primary practice location

1003 N Keyser Ave
Scranton, PA 18504-9728

Mailing address

1003 N Keyser Ave
Scranton, PA 18504-9728
Phone (570) 343-7663

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palko & Associates Inc CurrentSince Nov 1, 2020 Accepting new patients

Locations

1003 N Keyser Ave
Scranton, PA 18504
Phone (570) 343-7663

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1871193102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185049728",
            "telephone_number": "570-343-7663",
            "fax_number": "570-343-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185049728",
            "telephone_number": "570-343-7663",
            "fax_number": "570-343-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBY",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI005490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.