Laura Allyson Wand, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

50614 Issued in CA

Practice address

213 Tuhdegwa LN
Loudon, TN 37774-2616

Phone

(812) 459-5320

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1639950512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 TUHDEGWA LN",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742616",
            "telephone_number": "812-459-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 TUHDEGWA LN",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742616",
            "telephone_number": "812-459-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAND",
        "first_name": "LAURA",
        "middle_name": "ALLYSON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5830",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Leigh Tripp, AU.D.
• University Health System, Inc
• Volunteer Physical Therapy
• Briana Von Mizener
• Walgreen Co
• Evelyn G Ward, FNP
• Richard Scott Weber
• Lori Welch, OTR
• Janna Graber Werner, M.A., CCC-SLP
• Walter Trevor Wilczynski, DPT

• Physical Therapy Assistant in Loudon, TN
• Providers in Loudon, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.