Chantelle M Vaughan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34621 Issued in CA

Practice address

569 Searls Ave
Nevada City, CA 95959-3063

Phone

(539) 478-1933

NPI assigned

May 15, 2008

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milestone Physical Therapy IncGroup PAC ID 0547662553, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Milestone Physical Therapy Inc

  • Physical Therapist
  • Roseville, CA
  • NPI 1306422274
  Medicare reassignment Care Compare group NPD
• Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Nevada City, CA
  • NPI 1033396817
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1962679159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 SEARLS AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593063",
            "telephone_number": "539-478-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 SEARLS AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593063",
            "telephone_number": "539-478-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Kapiolani Blvd",
            "address_2": "Suite 1113",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144402",
            "country_code": "US",
            "telephone_number": "808-218-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "CHANTELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "PT3289",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Ann Valentine
• Eric Van Der Sluis
• Gerald Van Wagner
• Peter Demerest Vanhouten, M.D.
• Kris Vanoeveren, D.C.
• Andrea L Viehmann
• Gregory E Vixie, DDS
• Gregory Max Vogt, PH.D.
• Noelle F Voorhees, M.S., PPSC, LMFT
• Shannon Darell Wade

• Physical Therapist in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.