CHARLES J VAUGHN (ATC) – Physical Therapist, NPI 1811421571

CHARLES J VAUGHN (ATC) is a healthcare provider. based in Gig harbor, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials ATC. The NPI Number for CHARLES J VAUGHN (ATC) is 1811421571

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES J VAUGHN (ATC)
NPI
1811421571
Phone
(253) 514-5278
Address
4717 146th St NW
Enumeration Date
19 April 2017
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538534000
Graduation Year
2022 (4 years ago)
PAC ID
7416327077
Group Practice PAC ID
9436573177
Professional Enrollment ID
I20221223001197
Address ID
WA983328809GI5160XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:9State licenses:0Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for CHARLES J VAUGHN (ATC)

  • 4717 146th St NW

    Gig Harbor, WA 983329086

    Phone: (253) 514-5278

    Type: Location

  • 4717 146TH ST NW

    GIG HARBOR, WA 983329086

    Phone: (253) 514-5278

    Type: Location

  • 5160 BORGEN BLVD STE 101

    GIG HARBOR, WA 983328809

    Phone: (253) 853-4000

    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: 2022-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20221223001197IPhysical Therapist In Private PracticeWATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32227$0
97530Therapy procedure using functional activities14115$0
97140Therapy procedure using manual technique, each 15 minutes8915$0
97535Training for self-care or home management, each 15 minutes3718$0
97161Evaluation for physical therapy, typically 20 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 98332)

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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: 9436573177View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHARLES J VAUGHN (ATC)?
CHARLES J VAUGHN (ATC) — NPI 1811421571 — is the standard way to identify this listing.
Is CHARLES J VAUGHN (ATC) still practicing?
CHARLES J VAUGHN (ATC) is currently listed as active in the public NPI registry.
What is CHARLES J VAUGHN (ATC) best known for clinically?
Directory data describes CHARLES J VAUGHN (ATC) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect CHARLES J VAUGHN (ATC) on a map?
Expect Gig Harbor, Washington as a primary anchor for CHARLES J VAUGHN (ATC) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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