MOLLY KAY VAUGHAN (PT, DPT, PCS) – Physical Therapist, NPI 1326382110

MOLLY KAY VAUGHAN (PT, DPT, PCS) is a healthcare provider. based in North pole, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, PCS. They hold a License No. 113170 (AK). The NPI Number for MOLLY KAY VAUGHAN (PT, DPT, PCS) is 1326382110

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY KAY VAUGHAN (PT, DPT, PCS)
NPI
1326382110
Phone
(907) 750-9921
Address
130 LEWIS ST APT 4
Enumeration Date
16 November 2012
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074884978
Graduation Year
2012 (14 years ago)
PAC ID
6103281399
Group Practice PAC ID
7416940390
Professional Enrollment ID
I20230810003341
Address ID
AK997057699NO157XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for MOLLY KAY VAUGHAN (PT, DPT, PCS)

  • 130 LEWIS ST APT 4

    NORTH POLE, AK 997057656

    Phone: (907) 750-9921

    Type: Mailing

  • 1066 CHENA RIDGE RD

    FAIRBANKS, AK 997092601

    Phone: (907) 750-0865

    Type: Mailing

  • 3851 ROGER BROKKE DRIVE

    MCHE-QD (CREDS)

    FORT SAM HOUSTON, TX 782346200

    Phone: (210) 221-5033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230810003341IPhysical Therapist In Private PracticeAKTBD
I20230919002204IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities12218$0
97140Therapy procedure using manual technique, each 15 minutes6313$0
97164Re-evaluation for physical therapy, typically 20 minutes2213$0
97162Evaluation for physical therapy, typically 30 minutes1816$0
97163Evaluation for physical therapy, typically 45 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 99705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416940390View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeAK
-AK
Physical Therapist In Private PracticeAK
-AK
-AK
-AK
-AK
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeHI

Reviews

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Frequently asked questions

Can I use this page to confirm MOLLY KAY VAUGHAN (PT, DPT, PCS)'s NPI?
Yes. MOLLY KAY VAUGHAN (PT, DPT, PCS) is listed with NPI 1326382110 in the public NPI dataset.
Is MOLLY KAY VAUGHAN (PT, DPT, PCS) still practicing?
MOLLY KAY VAUGHAN (PT, DPT, PCS) is currently listed as active in the public NPI registry.
What is MOLLY KAY VAUGHAN (PT, DPT, PCS)'s primary classification?
Physical Therapist is the headline specialty for MOLLY KAY VAUGHAN (PT, DPT, PCS) here. Clinical services aligned with this taxonomy classification.
Where is MOLLY KAY VAUGHAN (PT, DPT, PCS) based?
MOLLY KAY VAUGHAN (PT, DPT, PCS) is tied to North Pole, Alaska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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