Individual provider Active NPI

Lauren Elizabeth Wagehoft, PT, DPT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1790372977
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16037 Issued in TN
Practice address
7550 E Brainerd Rd Ste 121
Chattanooga, TN 37421-3189
Phone
(423) 842-9322
Fax
(866) 591-0619
NPI assigned
Dec 22, 2020
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 16037 TN Primary

Addresses

Primary practice location

7550 E Brainerd Rd Ste 121
Chattanooga, TN 37421-3189

Mailing address

4109 Mountain View Ave Ste 100
Chattanooga, TN 37415-2096
Phone (423) 842-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306001713 TN Practitioner - Physical Therapist in Private Practice 1658785415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy, LLCGroup PAC ID 5799840211, 24 clinicians

Practice addresses (Care Compare)

7550 E Brainerd Rd
Suite 121
Chattanooga, TN 37421-3189
Phone (423) 842-9322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16037TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Summit Physical Therapy Physical Therapist Past Accepting new patients

Locations

4109 Mountain View Ave
Ste 100
Chattanooga, TN 37415

7550 E Brainerd Rd
Ste 121
Chattanooga, TN 37421

1790 Hamill Rd
Hixson, TN 37343
Phone (423) 362-4381

9380 Bradmore Ln
Ste 100
Ooltewah, TN 37363
Phone (423) 661-3246

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1790372977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MOUNTAIN VIEW AVE STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152096",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 E BRAINERD RD STE 121",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213189",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGEHOFT",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.