Susan E Vaughn, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305002693 Issued in VA

Practice address

100 Wimbledon SQ Ste a
Chesapeake, VA 23320-4931

Phone

(757) 547-5145

Fax

(757) 312-0216

NPI assigned

Jun 27, 2011

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

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4

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.

• Sport Medicine and Orthopaedic Center Inc

  • Orthopaedic Surgery Physician
  • Chesapeake, VA
  • NPI 1043246556

  Physical Therapist

  NPD (past)
• Sports Medicine and Orthopaedic Center

  • Physical Therapist
  • Chesapeake, VA
  • NPI 1386303832
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1790071892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WIMBLEDON SQ STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204931",
            "telephone_number": "757-547-5145",
            "fax_number": "757-312-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WIMBLEDON SQ STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204931",
            "telephone_number": "757-547-5145",
            "fax_number": "757-312-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanequa Martine Vass
• Dyverynce Vaughan, LPC
• Olivia Vaughan, RBT
• Teneisha Shanta Vaughan
• Ashara Vaughn
• Diana Vecerdea
• Nicole K Veech
• Kelly M Vega-Valenzuela
• Veinifast Mobile Laboratory Services
• Marc Velez

• Physical Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.