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

Individual provider Physical Therapy Assistant · NPI 1790110104

Mrs. Jayme Ellen Vaughan, PTA is a Physical Therapy Assistant in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1040 Pilgrim Way
Green Bay, WI 54304-5028
Phone: (920) 499-1481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2041-19 (WI)

Record details

NPI number1790110104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

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