Individual provider Active NPI

Amy Jean Vaught, PT, DPT

  • Physical Therapist
  • Pearisburg, VA
National Provider Identifier
1225532013
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210990 Issued in VA
Practice address
154 Kinter Way Ste a
Pearisburg, VA 24134-2218
Phone
(540) 921-5200
Fax
(540) 921-5100
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305210990 VA Primary

Addresses

Primary practice location

154 Kinter Way Ste a
Pearisburg, VA 24134-2218

Mailing address

154 Kinter Way Ste a
Pearisburg, VA 24134-2218
Phone (540) 921-5200

Other names 1

  • Amy Jean Corbin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201000416 VA Practitioner - Physical Therapist in Private Practice 0749670073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Physical Therapy and Wellness, IncGroup PAC ID 5991888950, 11 clinicians

Practice addresses (Care Compare)

2955 Market St
Suite B
Christiansburg, VA 24073-6575
Phone (540) 251-5084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blacksburg Neurology PC CurrentSince Jul 30, 2021 Accepting new patients
Choice Physical Therapy & Wellness, Inc Physical Therapist CurrentSince Jul 30, 2021 Accepting new patients
University Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
University Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

847 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-7892

2955 Market St
Ste C4
Christiansburg, VA 24073
Phone (336) 783-9400

2955 Market St
Ste B
Christiansburg, VA 24073
Phone (540) 251-5084

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1225532013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 KINTER WAY STE A",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241342218",
            "telephone_number": "540-921-5200",
            "fax_number": "540-921-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 KINTER WAY STE A",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241342218",
            "telephone_number": "540-921-5200",
            "fax_number": "540-921-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CORBIN",
            "middle_name": "JEAN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pearisburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.