Individual provider Active NPI

Callie Elizabeth Vaughn, OTR/L, CSCS

  • Hand Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1508669821
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
2025008639 Issued in MO
Practice address
12900 Tesson Ferry Rd Ste B
Saint Louis, MO 63128-2908
Phone
(314) 696-0707
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 2025008639 MO Primary

Addresses

Primary practice location

12900 Tesson Ferry Rd Ste B
Saint Louis, MO 63128-2908

Mailing address

102 Sugar Bend CT
Saint Peters, MO 63376-7420
Phone (618) 922-0375

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

LicenseStateTypeSpecialty
2025008639MOMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Select Rehab St Louis LLC PastSince Apr 6, 2025 Accepting new patients
SSM Select Rehab St. Louis, LLC PastSince Apr 6, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1508669821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SUGAR BEND CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767420",
            "telephone_number": "618-922-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 TESSON FERRY RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282908",
            "telephone_number": "314-696-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CALLIE",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "2025008639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.