Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vaughn Ruark Villena Chua-Uy, PT, DPT

Individual provider Physical Therapist · NPI 1174465694

Vaughn Ruark Villena Chua-Uy, PT, DPT is a Physical Therapist in Private Practice in Redondo Beach, California. Qualified in 2025, 1 year ago. Practices with Goodlife Physical Medicine Corp, an 11-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1300 S Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-5003
Phone: (310) 543-7779
Fax: (844) 314-9911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2365 Seal Beach Blvd Ste 101, Seal Beach, CA 90740-5622 — (310) 543-7779

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 309650 (CA)

Record details

NPI number1174465694
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Goodlife Physical Medicine Corp — 11 clinicians
Accepts Medicare assignment Not indicated

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