Wesley G Vaughan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1226808 Issued in TX

Practice address

220 W. Side Drive #300
Decatur, TX 76234

Phone

(940) 627-6290

Fax

(940) 209-0302

NPI assigned

Feb 9, 2023

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephenville Sports Rehab and Physical Therapy LLCGroup PAC ID 8123295706, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephenville Sports Rehab & Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Weatherford, TX
  • NPI 1932291697

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1548967664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 NORTHWEST LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011701",
            "telephone_number": "254-965-2040",
            "fax_number": "254-965-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W. SIDE DRIVE #300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234",
            "telephone_number": "940-627-6290",
            "fax_number": "940-209-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "WESLEY",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1226808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "752626958",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leann Trussell
• Mercedes Unger, LMSW
• Unraveled Therapy (n/a)
• Unwind Sensory Institute & Pediatric Op Therapy LLC
• Julia Rae Vasquez, MS, RDN, LD
• Ved V Aggarwal MD PA (Texas Pain Institute)
• Ved V. Aggarwal, MD, PA (Texas Pain Institute)
• Wanda R Villard, CNP
• Stephen L Vinson, DO
• Vitality Medical PLLC

• Physical Therapist in Decatur, TX
• Providers in Decatur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.

Verify at the official NPI Registry.