Provider Demographics
NPI:1124191705
Name:WELCH & MCLOY THERAPY SERVICES PA
Entity Type:Organization
Organization Name:WELCH & MCLOY THERAPY SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MCLOY
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP,L
Authorized Official - Phone:727-457-7037
Mailing Address - Street 1:PO BOX 1502
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34656-1502
Mailing Address - Country:US
Mailing Address - Phone:727-848-6747
Mailing Address - Fax:727-847-3107
Practice Address - Street 1:6926 HILLS DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-2710
Practice Address - Country:US
Practice Address - Phone:727-457-7037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL884158696OtherMEDICAID WAIVER
FL884158600Medicaid
FL2658401OtherAETNA
FLY903EOtherBLUE CROSS & BLUE SHIELD
FLY903EOtherBLUE CROSS & BLUE SHIELD
FL884158696OtherMEDICAID WAIVER