Stephanie Vaughn, MS, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009275 Issued in MI

Practice address

783 W Lant Rd
Saint Ignace, MI 49781

Phone

(906) 202-0611

NPI assigned

Mar 8, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alfred J Wroblewski MD PCGroup PAC ID 6709882384, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Alfred J Wroblewski MD PC

  • Orthopaedic Surgery Physician
  • Petoskey, MI
  • NPI 1821252289

  MI

  Medicare reassignment Care Compare group NPD
• Alfred J Wroblewski MD PC

  • Orthopaedic Surgery Physician
  • Petoskey, MI
  • NPI 1477564011
  Care Compare group
• Alfred J Wroblewski MD PC

  • Orthopaedic Hand Surgery Physician
  • Petoskey, MI
  • NPI 1932904489
  NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1992207658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 W LANT RD",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497819497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 W LANT RD",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "49781",
            "telephone_number": "906-202-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Osborn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497831822",
            "country_code": "US",
            "telephone_number": "906-635-4426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Osborn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497831822",
            "country_code": "US",
            "telephone_number": "906-635-4426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "STEPHANIE",
        "credential": "MS, OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Thurston, DC
• Lucas James Thurston, DC
• David John Tielbar
• Nathan Timmerman
• Jessica Lynn Tobias, CPSS
• Brandon Vincent
• Moody Wasif, DDS
• Jodi Marie Waybrant
• Tara M Weist, NP
• Joseph Kenneth Weistroffer, M.D.

• All providers in Saint Ignace, MI
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.