Organization Active NPI

Vaughn Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Columbia, SC
National Provider Identifier
1285059527
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6367 Issued in SC
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

Updated by the provider on Mar 5, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.