Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abigail Grace Vaughn Carranza

Individual provider Physical Therapist · NPI 1558210286

Abigail Grace Vaughn Carranza is a Physical Therapist in Private Practice in Kansas City, Missouri. Qualified in 2022, 4 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2026

Practice location Address checks out

6366 N Cosby Ave
Kansas City, MO 64151-2344
Phone: (816) 683-8618
Fax: (816) 683-2318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2026009566 (MO)

Record details

NPI number1558210286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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