Active NPI
Karen Janert Vaughn, P.T,M.T.C.
- Orthopedic Physical Therapist
- Bessemer, AL
National Provider Identifier
1336630755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 768
- Practice address
- 4863 Promenade Pkwy Ste 109
Bessemer, AL 35022-7309 - Phone
- (205) 481-9012
- Fax
- (205) 481-9014
- NPI assigned
- May 21, 2018
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 768 | AL | Primary |
Addresses
Primary practice location
4863 Promenade Pkwy Ste 109
Bessemer, AL 35022-7309
Mailing address
4863 Promenade Pkwy Ste 109
Bessemer, AL 35022-7309
Phone (205) 481-9012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4847 Promenade Pkwy
Suite 102
Bessemer, AL 35022-7310
Phone (205) 481-9012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 768 | AL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physical Therapy, LLC | Current | Accepting new patients |
Locations
4863 Promenade Pkwy
Ste 109
Bessemer, AL 35022
Phone (205) 481-9012
4847 Promenade Pkwy
Ste 102
Bessemer, AL 35022
Phone (205) 481-9012
Organizations & group practices 1
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.
-
- Physical Therapist
- Bessemer, AL
- NPI 1073777223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1336630755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4863 PROMENADE PKWY STE 109",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350227309",
"telephone_number": "205-481-9012",
"fax_number": "205-481-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4863 PROMENADE PKWY STE 109",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350227309",
"telephone_number": "205-481-9012",
"fax_number": "205-481-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "KAREN",
"middle_name": "JANERT",
"credential": "P.T,M.T.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AL",
"license": "768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.