Active NPI
Toyia Vaughn, CTRS
- Recreation Therapist
- San Antonio, TX
National Provider Identifier
1982236782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 66967
- Practice address
- 1777 NE Interstate 410 Loop
#1009
San Antonio, TX 78217 - Phone
- (210) 428-0899
- NPI assigned
- Feb 10, 2020
- Last updated
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 66967 | Primary |
Addresses
Primary practice location
1777 NE Interstate 410 Loop
#1009
San Antonio, TX 78217
Mailing address
4114 Medical Dr Apt 6305
San Antonio, TX 78229-5649
Phone (336) 266-9326
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Kareo.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1982236782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 MEDICAL DR APT 6305",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295649",
"telephone_number": "336-266-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 NE INTERSTATE 410 LOOP",
"address_2": "#1009",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78217",
"telephone_number": "210-428-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "TOYIA",
"credential": "CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": "66967",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Kareo.com",
"affiliation": "N",
"address_1": "1777 NE Interstate 410 Loop",
"address_2": "#1009",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "78217",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.