Active NPI
Kyle Vaughn, DPT
- Physical Therapist
- Henderson, NV
National Provider Identifier
1194279224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3345
- Practice address
- 1546 W Warm Springs Rd Ste 110
Henderson, NV 89014-4326 - Phone
- (702) 565-5011
- NPI assigned
- Aug 5, 2016
- Sex
- Male
- 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 | 3345 | NV | Primary |
Addresses
Primary practice location
1546 W Warm Springs Rd Ste 110
Henderson, NV 89014-4326
Mailing address
1546 W Warm Springs Rd Ste 110
Henderson, NV 89014-4326
Phone (702) 565-5011
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3345 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Therapies LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Las Vegas, NV
- NPI 1760842876
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1194279224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 W WARM SPRINGS RD STE 110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890144326",
"telephone_number": "702-565-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1546 W WARM SPRINGS RD STE 110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890144326",
"telephone_number": "702-565-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "KYLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.