Lori Crenshaw Vaughn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009676 Issued in GA

Practice address

610 Sparta Rd
Sandersville, GA 31082-1860

Phone

(478) 240-2176

Fax

(478) 240-2380

NPI assigned

Aug 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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 and National Provider Directory roles.

• Evans Rehabilitation Services, LLC

  • Physical Therapist
  • Evans, GA
  • NPI 1093715773
  Medicare reassignment NPD

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

{
    "created_epoch": "1249776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249776000000",
    "number": "1649402686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821860",
            "telephone_number": "478-240-2176",
            "fax_number": "478-240-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "LORI",
        "middle_name": "CRENSHAW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-09",
        "last_updated": "2009-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy S. Thomas, SLP-CCC
• Keith B Thompson
• Latina Thompson
• James H Tinley, MD
• Trinity Loving Care Mobile Transportation, LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Tiffany Waliker
• Washington County Board of Education
• Washington County Board of Health

• Physical Therapist in Sandersville, GA
• Providers in Sandersville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.