Active NPI
Anda Michelle Vaughn, PT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1003108762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8683
- Practice address
- 5358 E Baseline Road
Mesa, AZ 85206 - Phone
- (480) 699-9224
- NPI assigned
- May 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8683 | AZ | Primary |
Addresses
Primary practice location
5358 E Baseline Road
Mesa, AZ 85206
Mailing address
7214 E Kael St
Mesa, AZ 85207-1917
Phone (480) 540-8737
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1003108762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7214 E KAEL ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852071917",
"telephone_number": "480-540-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5358 E BASELINE ROAD",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-699-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "ANDA",
"middle_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.