Amy Vaughan, MS,OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056008463 Issued in IL

Practice address

3815 E. Main Street., Suite B
St. Charles, IL 60174

Phone

(630) 584-7530

NPI assigned

Sep 26, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Easter Seals Dupage and the Fox Valley Region

  • Physical Therapist
  • Villa Park, IL
  • NPI 1194122739

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1700036688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 QUIN CT APT 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639293",
            "telephone_number": "630-596-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E. MAIN STREET., SUITE B",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-584-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "MS,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaige Ryan Vandezande, DMD
• Ashley Vanopstall, PSYD
• Vivian S Vanroekel, M.D.
• Margaret Cathleen Varga, DC
• Krupa R Varghese
• Dulce E. Vazquez, D.C.
• Emily Vellender, BCBA
• Lekshmi R Venugopal, M.D.
• Pracedes Del Mundo Vergara, NP
• Rajan Verma, D.D.S.

• Occupational Therapist in St. Charles, IL
• Providers in St. Charles, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.