Lauren Wagner

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

14223358-2401 Issued in UT

Practice address

1220 W Poplar St Ste a
Walla Walla, WA 99362-2757

Phone

(503) 593-2613

NPI assigned

Jun 18, 2025

Last updated

Jun 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luke William Reardon

  • Physical Therapist
  • Walla Walla, WA
  • NPI 1811565740
  Medicare reassignment
• Bella Buzz LLC

  dba BYLT Physical Therapy

  • Physical Therapist
  • Walla Walla, WA
  • NPI 1063290179
  NPD

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1598651192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 OSWEGO GLEN CT",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970341548",
            "telephone_number": "503-593-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W POPLAR ST STE A",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622757",
            "telephone_number": "503-593-2613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Oswego Glen Ct",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970341548",
            "country_code": "US",
            "telephone_number": "503-593-2613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "14223358-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Rae Vocht, RN
• Shirley Robin Vonhaven, DO
• Minh N Vu, L.AC.
• Luke William Waggoner
• Janalee Wagner, DSW, MSW, LICSW
• William D Wagner, D.O.
• Walgreen Co (Walgreens #10107)
• Brian Walker, M.D.
• Chantey Walker
• Claire Walker

• Orthopedic Physical Therapist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.