Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508124199 Individual Practitioner Female Practitioner

Lisa Wagoner , PTA

Physical Therapy Assistant • Medford, OR

Professional Overview & Biography Verified Profile Summary

Lisa Wagoner, PTA is a registered healthcare professional specializing in Physical Therapy Assistant in Medford, OR. Practice services are available at 400 CRATER LAKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Crater Lake Ave

Medford, OR 975046808

Telephone 5416136505
Associated Practice Facility / Clinic
🏢 Trillium Waterbirth Center Facility NPI 1811284409

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Medford, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
35 Specialists

Practicing in Medford, OR (775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-01
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License OR 8785

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Physical Therapy Assistant

NUCC Taxonomy Code: 225200000X

State License ID PTA-2842

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Brittney Lacey

Occupational Therapist

NPI 1043954712
Lynn Halliday-Roussell , OT

Occupational Therapist - Pediatrics

NPI 1104957513

Occupational Therapist

Rylee Deley , COTA, L

Occupational Therapy Assistant

NPI 1164113817

Certified Occupational Therapy Assistant, L

Heidi Smith , PT

Physical Therapist

NPI 1215140231

Physical Therapist

Lindsey Roby , MOT, OTR, L

Occupational Therapist

NPI 1245591825

Master of Occupational Therapy, Occupational Therapist Registered, L

Michael Halpern , OTR, L

Occupational Therapist

NPI 1295940336

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 01, 2023

Registered at 400 CRATER LAKE AVE, MEDFORD, OR 975046808 (Tel: 5416136505)

📍
Updated Business Mailing Address May 01, 2023

Registered at 113 N ELM ST, CANBY, OR 970133519

👤
Provider Name / Credentials Updated May 01, 2023

Recorded as LISA WAGONER, P.T.A.

NPI Profile Active May 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2012

Registered at 600 N ROBBINS RD, BOISE, ID 837024565 (Tel: 2084894635)

📍
Updated Business Mailing Address May 02, 2012

Registered at 3710 DORMAN AVE, CALDWELL, ID 836053136 (Tel: 5099295511)

👤
Provider Name / Credentials Updated May 02, 2012

Recorded as LISA MILLER, P.T.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2012

Physical Therapy Assistant (License #PTA-2842 in ID)

🟢
Initial NPI Registration & Enumeration May 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1508124199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2012
Last Update: May 01, 2023
Sole Proprietor: No

Mailing Address

113 N Elm St

Canby, OR 970133519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.