Active NPI
Jennifer Leigh Vought, PT
- Pediatric Physical Therapist
- Frostburg, MD
National Provider Identifier
1306021639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 002022
- Practice address
- 214 McCulloh St
Frostburg, MD 21532-1958 - Phone
- (301) 689-3332
- NPI assigned
- Jan 6, 2008
- Last updated
- Jan 6, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 002022 | WV | Primary |
Addresses
Primary practice location
214 McCulloh St
Frostburg, MD 21532-1958
Mailing address
214 McCulloh St
Frostburg, MD 21532-1958
Phone (301) 689-3332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002022 | WV | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199577600000",
"number": "1306021639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 MCCULLOH ST",
"city": "FROSTBURG",
"state": "MD",
"postal_code": "215321958",
"telephone_number": "301-689-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 MCCULLOH ST",
"city": "FROSTBURG",
"state": "MD",
"postal_code": "215321958",
"telephone_number": "301-689-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOUGHT",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-06",
"last_updated": "2008-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WV",
"license": "002022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frostburg, MD
- Upmc Western Maryland Corporation (UPMC Western Maryland)
- Upmc Western Maryland Health Services, LLC
- Upmc Western Maryland Health Services, LLC
- Donita Yvette Valentine, A.T.C
- Stephanie Adeline Vigezzi
- Kelly Ann Wakefield, PTA
- Walgreen Co (Walgreens #17857)
- Walgreen Co. (Walgreens #17857)
- Clayton Antonio Washington
- Sylvia Ann Watson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.