Shannon B. Welch, PT, DPT
NPI 1639454192ActiveIndividual· Physical Therapist· Summit, NJ
Physical Therapist (PT, DPT) in Summit, New Jersey, licensed in NJ and VA, with an NPI issued in October 2011.
Overview
| NPI | 1639454192 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Oct 17, 2011 |
| Last updated in NPPES | Nov 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01495000 | NJ |
| Physical Therapist | 225100000X | 2305207169 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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