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

Travis James Vaughan

Individual provider Physical Therapist · NPI 1316879901

Travis James Vaughan is a Physical Therapist in Ridge, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

679 Whiskey Rd
Ridge, NY 11961-8352
Phone: (631) 821-8090
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NY)

Record details

NPI number1316879901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 30, 2026
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026
Mailing address78 Birchwood Rd, Coram, NY 11727-3680

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