NPIMap

Organization Active NPI

Vertex PT Specialists, LLC

  • Physical Therapist
  • Cayce, SC
National Provider Identifier
1265899652
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VERTEX PT SPECIALISTS, LLC
Practice address
1105 12TH St
Cayce, SC 29033-3304
Phone
(803) 973-0100
Fax
(803) 973-0117
NPI assigned
Jan 15, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Brandon Vaughn, DPTNPI 1609172840
Title
Ceo
Phone
(803) 973-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160428000105 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355640285 Receives reassigned benefits from 19 practitioners
Practice locations: Cayce, SC; Columbia, SC; Irmo, SC

National Provider Directory

National Provider Directory

Locations

1105 12th St
Cayce, SC 29033
Phone (803) 973-0100

2829 Millwood Ave
Columbia, SC 29205
Phone (803) 216-5724

10216 Broad River Rd
Irmo, SC 29063
Phone (803) 973-1717

3541 Dreher Shoals Rd
Ste 3
Irmo, SC 29063
Phone (803) 227-3753

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1105 12TH St
Cayce, SC 29033-3304

Mailing address

1105 12TH St
Cayce, SC 29033-3304
Phone (803) 973-0100

Other practice location 1

10216 Broad River Rd
Irmo, SC 29063-9679
Phone (803) 973-1717

Other practice location 2

1825 Laurel St
Columbia, SC 29201-2626
Phone (803) 949-5525

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2023.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1265899652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 12TH ST",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333304",
            "telephone_number": "803-973-0100",
            "fax_number": "803-973-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 12TH ST",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333304",
            "telephone_number": "803-973-0100",
            "fax_number": "803-973-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10216 Broad River Rd",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290639679",
            "country_code": "US",
            "telephone_number": "803-973-1717",
            "fax_number": "803-462-5804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012626",
            "country_code": "US",
            "telephone_number": "803-949-5525",
            "fax_number": "803-454-9459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERTEX PT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-973-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayce, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.