Paula Waggoner Vergne

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

2792 Issued in TN

Practice address

3056 Miles Johnson Pkwy
Spring Hill, TN 37174-4564

Phone

(877) 407-3422

Fax

(877) 407-4329

NPI assigned

Oct 13, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Fox Rehabilitation Services TN LLCGroup PAC ID 8921363771, 73 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.

• Fox Rehabilitation Services TN LLC

  • Physical Therapist
  • Spring Hill, TN
  • NPI 1710406491
  Medicare reassignment Care Compare group NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Hendersonville, TN
  • NPI 1053698530
  Medicare reassignment NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336808146
  NPD

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1902569239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 FULTON GREER RD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370642296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 MILES JOHNSON PKWY",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371744564",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Fulton Greer Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370642296",
            "country_code": "US",
            "telephone_number": "615-507-8230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERGNE",
        "first_name": "PAULA",
        "middle_name": "WAGGONER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TN",
            "license": "2792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN-BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "2792",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services TN LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3056 Miles Johnson Pkwy",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371744564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooklin Rose Valdez
• Morgan Valdez, MASSAGE THERAPIST
• Vanderbilt Maury Radiation Oncology, LLC
• Mackenzie Ellen Vanderbloomen, OTD, OTR/L
• Elli Velker
• Amy Katherine Vickery, PHARM. D.
• Hannah Miller Wade
• Titus Wade
• Valerie L Wade, LCSW
• Wal-Mart Stores East LP

• Gerontology Occupational Therapist in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Gerontology Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.