Lauren Kristine Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10983 Issued in TN

Practice address

PO Box 80
Harrogate, TN 37752-0080

Phone

(423) 289-2026

NPI assigned

Feb 19, 2015

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

East Tennessee State University Quillen College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Tennessee Physical Therapy LLCGroup PAC ID 7810294832, 3 clinicians

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 and National Provider Directory roles.

• East Tennessee Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Maynardville, TN
  • NPI 1134504764
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1780076349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377520080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377520080",
            "telephone_number": "423-289-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAUREN",
        "middle_name": "KRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006391",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Michelle Wedolowski
• Brooke Williams, PTA
• Jerod K Williams
• Ashley N Wilson, NURSE PRACTITIONER
• Casey Wilson, APN
• Alec Wiscombe
• Daniel Raymond Wood
• Katelyn Woods, PA-C
• Gretchen Worthington
• Wright and Wright Dental PLLC

• Physical Therapist in Harrogate, TN
• Providers in Harrogate, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.