| Lauren Michele Waggoner, PT, DPT | |
|
710 Park Center Dr Ste 200, Matthews, NC 28105-5082 | |
| (043) 233-2087 | |
| (704) 323-3240 |
| Full Name | Lauren Michele Waggoner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 710 Park Center Dr Ste 200, Matthews, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265951081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9386 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | P22641 (North Carolina) | Primary |
| Provider Name | South Carolina Sports Medicine & Orthopaedic Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922111715 PECOS PAC ID: 8527972637 Enrollment ID: O20031113000484 |
| Provider Name | Benchmark Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811213341 PECOS PAC ID: 3779726468 Enrollment ID: O20130828000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Michele Waggoner, PT, DPT 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 Ph: (704) 323-3611 | Lauren Michele Waggoner, PT, DPT 710 Park Center Dr Ste 200, Matthews, NC 28105-5082 Ph: (043) 233-2087 |
Alexis Nottage, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13655 Providence Rd, Matthews, NC 28104 Phone: 704-246-7050 | |
Dr. Brandi Singleton, PT, DPT, CCI Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Royal Commons Ln, Matthews, NC 28105 Phone: 704-849-6990 | |
Jeanine Renee Russman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Matthews Township Pkwy, Suite 120, Matthews, NC 28105 Phone: 704-323-3208 Fax: 704-323-3911 | |
Fox Rehab Pt Nc Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2008 Moore Rd, Matthews, NC 28105 Phone: 877-407-3422 Fax: 877-407-4329 | |
Mrs. Kathy Wright Wallace, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1352 Matthews Township Parkway, Unit 102, Matthews, NC 28105 Phone: 704-847-6351 Fax: 704-849-2826 | |
Shaun M Riney, PHYSICAL THERAPY Physical Therapist Medicare: Medicare Enrolled Practice Location: 1205 Mann Dr, Matthews, NC 28105 Phone: 704-323-3278 | |
Mr. Christopher Cyril Gabriel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1205 Mann Dr, Matthews, NC 28105 Phone: 704-323-3278 |