MR. JUSTIN MICHAEL WELCH (NPI# 1780690768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780690768 |
Entity Type | Individual |
Full Name | MR. JUSTIN MICHAEL WELCH |
Credential | PT, DPT |
Practice Address |
106 N. French Street Suite 250 Breckenridge CO 80424-4869 |
Mailing Address |
Po Box 4869 Breckenridge CO 80424-4869 |
Practice Telephone | 9704853421 |
Practice Fax Number | 9704531960 |
Mailing Telephone | 9704853421 |
Mailing Fax Number | 9704531960 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2015-02-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 17635 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
0010078 | CO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | STATE OF COLORADO LICENSE | 0010078 | 01 |
CO | CAQH | 11667806 | 01 |
MA | P.T. LICENSE NUMBER | 17635 | 01 |
MA | CAQH | 11667806 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134596265 | Justin Christopher Welch | Pharmacist | 3689 S Houston Levee Rd, Collierville, TN 38017-9014 | 2015-08-24 |
1558551713 | Justin Michael Welch | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2007-07-25 |
1881798064 | Justin Luke Welch | Dermatology | 401 Keene St, Columbia, MO 65201-6625 | 2006-09-11 |
Street Address |
106 N. FRENCH STREET SUITE 250 |
City | BRECKENRIDGE |
State | CO |
Zip Code | 80424-4869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447864954 | Indigo Bilingual Counseling | Counselor | 106 N French Street, Breckenridge, CO 80424 | 2020-09-02 |
1043832702 | Summit Orthopedics Pllc | Clinic/Center | 555 S Park Avenue, Breckenridge, CO 80424 | 2020-05-15 |
1467083162 | Allison Langley | Doula | 110 S. Park Ave. #118, Breckenridge, CO 80424 | 2020-01-31 |
1699322800 | Vail Clinic, Inc. | Clinic/Center | 505 South Main Street, Breckenridge, CO 80424 | 2019-08-22 |
1447805247 | Alaina Carol Wischmeyer | Chiropractor | 424 S. Ridge St, Breckenridge, CO 80424 | 2019-08-08 |
1083274955 | Summit Community Care Clinic, Inc. | Clinic/Center | 312 S Harris Street, Breckenridge, CO 80424 | 2019-06-13 |
1861055295 | Premiere Physical Therapy LLC | Physical Medicine & Rehabilitation | 97 Rachel Lane, Breckenridge, CO 80424 | 2019-04-22 |
1649737313 | Nicholas Brown Dds PC | Clinic/Center | 235 S Ridge Street, Suite 2b, Breckenridge, CO 80424 | 2019-02-28 |
1023573342 | Amanda Meehan | Massage Therapist | 435 N Park Ave, Breckenridge, CO 80424 | 2019-02-01 |
1982196804 | Kristin Jennifer Esber | Massage Therapist | 435 North Park Avenue, Breckenridge, CO 80424 | 2018-06-06 |
Find all providers in zip 80424 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124362918 | Rehab Colorado LLC | Clinic/Center | 555 S Park Ave Plaza 2, Breckenridge, CO 80424 | 2012-11-16 |
1528095452 | Rehab Colorado, LLC. | Clinic/Center | 880 Airport Road, Breckenridge, CO 80424 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003415811 | Select Physical Therapy of West Denver Limited Partnership | Clinic/Center | 3434 47th St Ste 107, Boulder, CO 80301-1817 | 2020-10-22 |
1043859747 | Peak Rehabilitation of Denver LLC | Clinic/Center | 2751 W 120th Ave Ste 150, Westminster, CO 80234-2979 | 2019-12-27 |
1801434121 | Hca-healthone LLC | Clinic/Center | 14000 E Arapahoe Rd Ste 110, Centennial, CO 80112-4044 | 2019-12-17 |
1215575741 | Hca-healthone LLC | Clinic/Center | 3773 E Cherry Creek North Dr Ste 140, Denver, CO 80209-3814 | 2019-12-16 |
1346896081 | Select Physical Therapy of West Denver Limited Partnership | Clinic/Center | 8601 Turnpike Dr Ste 204, Westminster, CO 80031-7043 | 2019-08-16 |
1285153569 | Colorado Physio Therapy | Clinic/Center | 13710 E Rice Pl Ste 100, Aurora, CO 80015-1075 | 2017-09-18 |
1184164436 | Angels of Care Pediatric Home Health Colorado, LLC. | Clinic/Center | 2851 S Parker Rd Ste 1136, Aurora, CO 80014-2732 | 2017-03-06 |
1972040996 | Precision Manuel Therapy and Rehab LLC | Clinic/Center | 7710 N Union Blvd Ste 100d, Colorado Springs, CO 80920-4085 | 2017-01-28 |
1508229782 | Elite Therapy and Wellness Center, Inc. | Clinic/Center | 3715 Thatcher Ave, Pueblo, CO 81005-1255 | 2016-04-04 |
1629454962 | Children's Hospital Colorado | Clinic/Center | 704 Fortino Blvd Ste A, Pueblo, CO 81008-2087 | 2015-08-10 |
Find all providers with the same taxonomy |
City | BRECKENRIDGE |
Zip Code | 80424 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.