Active NPI
Vaughn Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Columbia, SC
National Provider Identifier
1285059527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 6367
- Legal business name
- VAUGHN PHYSICAL THERAPY, LLC
- Practice address
- 1825 Laurel St
Columbia, SC 29201-2626 - Phone
- (803) 351-9906
- NPI assigned
- Feb 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Physical Vaughn, DPT
- Title
- Physical Therapist
- Phone
- (803) 351-9906
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 6367 | SC | Primary |
Addresses
Primary practice location
1825 Laurel St
Columbia, SC 29201-2626
Mailing address
1825 Laurel St
Columbia, SC 29201-2626
National Provider Directory
National Provider DirectoryLocations
1825 Laurel St
Columbia, SC 29201
Phone (803) 851-3506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393977600000",
"number": "1285059527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 LAUREL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 LAUREL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012626",
"telephone_number": "803-351-9906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAUGHN PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-24",
"last_updated": "2014-03-05",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "PHYSICAL",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "803-351-9906",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "SC",
"license": "6367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.