Kelsey Lynn Vaughn, OTD R/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6413 Issued in TN

Practice address

3121 Salem St
Milan, TN 38358-6617

Phone

(731) 415-5114

NPI assigned

Oct 23, 2019

Last updated

Feb 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy & Learning Center Inc

  • Clinic/Center
  • Jackson, TN
  • NPI 1780395830
  Medicare reassignment NPD
• Jones Therapy Services LLC

  dba Associates in Pediatric Therapy

  • Pediatric Rehabilitation Medicine Physician
  • Murfreesboro, TN
  • NPI 1811213556

  Occupational Therapist

  NPD
• Therapy & Learning Center Inc

  • Rehabilitation Clinic/Center
  • Jackson, TN
  • NPI 1013037159
  NPD (past)
• Thrive Pediatric Therapy PLLC

  • Speech-Language Pathologist
  • Gallatin, TN
  • NPI 1972252021

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1083257869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 AUTUMN SPRINGS CT STE 1A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678274",
            "telephone_number": "615-614-8833",
            "fax_number": "615-614-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 SALEM ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383586617",
            "telephone_number": "731-415-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "credential": "OTD R/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Milan, TN
• Providers in Milan, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.