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

Charles J Vaughn, ATC

Individual provider Athletic Trainer · NPI 1811421571

Charles J Vaughn, ATC is a Physical Therapist in Private Practice in Gig Harbor, Washington. Qualified in 2022, 4 years ago. Practices with Pro Sport Physical Therapy, LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2017
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809
Phone: (253) 853-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4717 146th St Nw, Gig Harbor, WA 98332-9086 — (253) 514-5278

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1811421571
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

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 Pro Sport Physical Therapy, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gig Harbor