Individual provider Active NPI

Lauren Kristen Rocconi, P.T.

  • Physical Therapist
  • Collierville, TN
National Provider Identifier
1417044405
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7115 Issued in TN
Practice address
9950 Crooked Creek Drive
Collierville, TN 38017
Phone
(901) 850-5756
Fax
(901) 850-5911
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7115 TN Primary

Addresses

Primary practice location

9950 Crooked Creek Drive
Collierville, TN 38017

Mailing address

PO Box 770929
Memphis, TN 38177-0929
Phone (901) 850-5756

Other identifiers 1

IdentifierTypeStateIssuer
7115OtherTNPT LICENSE

Other names 1

  • Lauren Kristen Wooten Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Orthopaedics & Sports Medicine, PLLC Past Accepting new patients
Collierville Orthopedics and Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2699/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1417044405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770929",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381770929",
            "telephone_number": "901-850-5756",
            "fax_number": "901-850-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 CROOKED CREEK DRIVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-850-5756",
            "fax_number": "901-850-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCONI",
        "first_name": "LAUREN",
        "middle_name": "KRISTEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "7115",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WOOTEN",
            "middle_name": "KRISTEN",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.