Active NPI
Stephanie Frances Vaughan, P.T., D.P.T
- Physical Therapist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27075
- Practice address
- 29605 US Highway 19 N
Suite #360
Clearwater, FL 33761-1537 - Phone
- (727) 784-6088
- Fax
- (727) 532-4300
- NPI assigned
- Dec 27, 2011
- Sex
- Female
- 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 | PT27075 | FL | Primary |
Addresses
Primary practice location
29605 US Highway 19 N
Suite #360
Clearwater, FL 33761-1537
Mailing address
13830 58TH St N
Suit 409
Clearwater, FL 33760-3720
Phone (727) 532-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35095 US 19
Suite 101
Palm Harbor, FL 34684-1968
Phone (727) 475-5538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27075 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapy and Wellness Inc | Physical Therapist | Current | Accepting new patients |
| Optimal Performance and Physical Therapies Palm Harbor LLC | Physical Therapist | Current | Accepting new patients |
Locations
13830 58th St N
Ste 409
Clearwater, FL 33760
Phone (727) 532-1900
14280 Walsingham Rd
Largo, FL 33774
Phone (727) 596-2101
13777 Belcher Rd S
Largo, FL 33771
Phone (727) 532-1900
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
35095 US Highway 19 N
Ste 101
Palm Harbor, FL 34684
Phone (727) 475-5538
Organizations & group practices 2
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.
-
- Physical Therapist
- Palm Harbor, FL
- NPI 1437456167
-
- Physical Therapy Assistant
- Largo, FL
- NPI 1861528994
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1255600995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13830 58TH ST N",
"address_2": "SUIT 409",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603720",
"telephone_number": "727-532-1900",
"fax_number": "727-532-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29605 US HIGHWAY 19 N",
"address_2": "SUITE #360",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611537",
"telephone_number": "727-784-6088",
"fax_number": "727-532-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "STEPHANIE",
"middle_name": "FRANCES",
"credential": "P.T., D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.