Active NPI
Wendy Michelle Lavigne, DPT
- Orthopedic Physical Therapist
- Memphis, TN
National Provider Identifier
1013259803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 0000008147
- Practice address
- 4816 Riverdale Rd
Memphis, TN 38141-8529 - Phone
- (901) 522-6830
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 0000008147 | TN | Primary |
Addresses
Primary practice location
4816 Riverdale Rd
Memphis, TN 38141-8529
Mailing address
41 S 4TH St
Apt 305
Memphis, TN 38103-5210
Phone (662) 231-7060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8147 | TN | MD | Social Worker |
| 0000008147 | TN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group PC | Past | Accepting new patients | |
| Spinal Health Care Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1316137243
-
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1013259803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 S 4TH ST",
"address_2": "APT 305",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381035210",
"telephone_number": "662-231-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816 RIVERDALE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381418529",
"telephone_number": "901-522-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIGNE",
"first_name": "WENDY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TN",
"license": "0000008147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.