Active NPI
Lauren Kristen Rocconi, P.T.
- Physical Therapist
- Collierville, TN
National Provider Identifier
1417044405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7115
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7115 | Other | TN | PT LICENSE |
Other names 1
- Lauren Kristen Wooten
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Orthopaedics & Sports Medicine, PLLC | Past | Accepting new patients | |
| Collierville Orthopedics and | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Collierville, TN
- NPI 1003855420
-
- Orthopaedic Surgery Physician
- West Memphis, AR
- NPI 1043565773
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.