Keith A Vaughn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000003655 Issued in TN

Practice address

401 Scenic Dr
Rogersville, TN 37857-2452

Phone

(423) 921-7224

Fax

(423) 921-7227

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1871610618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 CORALWOOD DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632709",
            "telephone_number": "423-239-4366",
            "fax_number": "423-224-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SCENIC DR",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572452",
            "telephone_number": "423-921-7224",
            "fax_number": "423-921-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000003655",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "0105006341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Diabetes and Wound Care Associates, LLC
• Clairedale Tumulak, PT
• Christy Star Tunnell, M.S
• Brian K Turner, CRNA
• Diane L Underwood, RN
• Susan Frances Venable, RN
• Cecilia A Verzosa, PT
• John Anthony Vincenzo, LPN
• Vision Healthcare Solutions LLC
• Nancy Kaye Waite-O'Brien, PHD

• Physical Therapist in Rogersville, TN
• Providers in Rogersville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.