Kaitlin Nicole Vaughan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2025008447 Issued in MO

Practice address

366 Country Meadow LN
Fulton, MO 65251-5278

Phone

(573) 642-7216

NPI assigned

Feb 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Vaughan Other name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy IncGroup PAC ID 0941228548, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Advanced Physical Therapy Inc

  • Physical Therapist
  • Anchorage, AK
  • NPI 1437214459
  Medicare reassignment Care Compare group
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Cape Girardeau, MO
  • NPI 1316907884
  NPD (past)

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1104621879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 COUNTY ROAD 558",
            "city": "BAKERSFIELD",
            "state": "MO",
            "postal_code": "656098051",
            "telephone_number": "636-697-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 COUNTRY MEADOW LN",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652515278",
            "telephone_number": "573-642-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "KAITLIN",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025008447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "VAUGHAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Total Health and Rehabilitation Center, PC
• Tara Corinne Tubbesing, PSY.D.
• Carl Ryan Tunink, M.D.
• Joel L Tyser, CRNA
• James William Vann, OD
• Liberty Blue Velez
• Paul Robert Vossen, RPH
• Wal-Mart Stores East LP
• Walgreen Co
• Teresa Ann Warfield, LPN

• Physical Therapist in Fulton, MO
• Providers in Fulton, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.