Kimberly Irene Vaussine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08512 Issued in LA

Practice address

4080 Nelson Rd Ste 500
Lake Charles, LA 70605-2440

Phone

(337) 494-7546

Fax

(337) 494-7548

NPI assigned

Feb 13, 2013

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

Other names 1

• Miss Kimberly Irene Morris Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential Physical Therapy IncGroup PAC ID 9436381811, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Action Potential Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Lake Charles, LA
  • NPI 1396800587

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Action Potential Physical Therapy - Moss Bluff, LLC

  • Physical Therapy Clinic/Center
  • Lake Charles, LA
  • NPI 1912843855
  NPD (past)
• Lemoine Therapy Services of Cenla Inc

  • Physical Therapist
  • Mansura, LA
  • NPI 1336242767
  NPD (past)
• Therapy Center of Jefferson Davis Parish, Inc

  • Physical Therapist
  • Jennings, LA
  • NPI 1508971045
  NPD (past)

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1174862098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 NELSON RD STE 500",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052440",
            "telephone_number": "337-494-7546",
            "fax_number": "337-494-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 NELSON RD STE 500",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052440",
            "telephone_number": "337-494-7546",
            "fax_number": "337-494-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUSSINE",
        "first_name": "KIMBERLY",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MORRIS",
            "middle_name": "IRENE",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Timothy Eric Vanwinkle, NP
• Lacey Whatley Vasilakis, FNP-C
• Robert Roy Vaughan, DDS
• Lisa Anita Vaughn, DO
• Melissa Vaughn, MS
• VCP 2 Louisiana Professional Corporation
• Vcphcs VI, LLC
• Jessica G Veillon, MS, LAT, ATC
• Nicole L Veillon, PHARMD
• Vein Center of Southwest Louisiana LLC

• Physical Therapist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.