Individual provider Active NPI

Stephanie Frances Vaughan, P.T., D.P.T

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1255600995
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27075 Issued in FL
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

Updated by the provider on Apr 27, 2016

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 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

Enrollment IDStateProvider typePAC IDDetails
I20160818002432 FL Practitioner - Physical Therapist in Private Practice 2567757339 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
PT27075FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy and Wellness Inc Physical Therapist CurrentSince Feb 28, 2015 Accepting new patients
Optimal Performance and Physical Therapies Palm Harbor LLC Physical Therapist CurrentSince May 2, 2022 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.

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.

Verify at the official NPI Registry.