What is Lisa Wagoner's NPI number?

Lisa Wagoner's National Provider Identifier (NPI) is 1508124199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lisa Wagoner's specialty?

Lisa Wagoner is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Lisa Wagoner located?

Lisa Wagoner's practice location on file with NPPES is 400 Crater Lake Ave, Medford, OR 97504-6808.

What is Lisa Wagoner's phone number?

The practice phone number listed in the NPPES registry for Lisa Wagoner is (541) 613-6505.

Is Lisa Wagoner's NPI active?

Yes — Lisa Wagoner's NPI (1508124199) is active in the NPPES registry as of the last update on 2023-05-01.

IndividualActive

Lisa Wagoner, P.T.A.

NPI 1508124199 · Physical Therapy Assistant · Medford, OR

Lisa Wagoner, P.T.A. is a Physical Therapy Assistant provider in Medford, OR (NPI 1508124199).

Provider details

NPI number: 1508124199
Entity type: Individual
Primary specialty: Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: P.T.A.
Sex: Female
Sole proprietor: No
License: PTA-2842 (ID)

Practice location

400 Crater Lake Ave

Medford, OR 97504-6808

Phone: (541) 613-6505

Street-level locationGet directions

More OR providers

Mailing address

113 N Elm St

Canby, OR 97013-3519

Specialties & taxonomies

Physical Therapy AssistantPrimary225200000XLicense 8785 (OR)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant225200000XLicense PTA-2842 (ID)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2012-05-02
Last updated: 2023-05-01
Certified: 2023-05-01

Frequently asked questions

What is Lisa Wagoner's NPI number?: Lisa Wagoner's National Provider Identifier (NPI) is 1508124199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Lisa Wagoner's specialty?: Lisa Wagoner is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Lisa Wagoner located?: Lisa Wagoner's practice location on file with NPPES is 400 Crater Lake Ave, Medford, OR 97504-6808.
What is Lisa Wagoner's phone number?: The practice phone number listed in the NPPES registry for Lisa Wagoner is (541) 613-6505.
Is Lisa Wagoner's NPI active?: Yes — Lisa Wagoner's NPI (1508124199) is active in the NPPES registry as of the last update on 2023-05-01.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions