Individual provider Active NPI

Samantha Allison Vaught, DPT

  • Physical Therapist
  • Princeton, WV
National Provider Identifier
1790423119
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1201 Stafford Dr
Princeton, WV 24740-2465
Phone
(304) 920-7450
NPI assigned
May 25, 2022
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1201 Stafford Dr
Princeton, WV 24740-2465

Mailing address

1201 Stafford Dr
Princeton, WV 24740-2465
Phone (304) 920-7450

Other names 1

  • Samantha Allison Meadows Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C Black Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Tristar Physical Therapy LLC Physical Therapist PastSince Dec 1, 2022 Accepting new patients

Locations

325 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-2264

325 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 317-7772

410 N Broad St
New Tazewell, TN 37825
Phone (423) 317-7772

113 Hedrick Dr
Newport, TN 37821
Phone (423) 438-1124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1790423119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402465",
            "telephone_number": "304-920-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 STAFFORD DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402465",
            "telephone_number": "304-920-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "SAMANTHA",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MEADOWS",
            "middle_name": "ALLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.