Healthcare Provider Details

I. General information

NPI: 1669389946
Provider Name (Legal Business Name): SABRINA VAUGHAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5110 N DYSART RD STE 148
LITCHFIELD PARK AZ
85340-3062
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 623-547-4739
  • Fax: 623-536-2154
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number034956
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: