Allison Jones Waggoner

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.60879030 Issued in WA

Practice address

2929 5TH Ave NE Ste a
Puyallup, WA 98372-6782

Phone

(253) 447-8216

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids at Play Therapy, LLC

  • Specialist
  • Sumner, WA
  • NPI 1770819385
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1023593985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 5TH AVE NE STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 5TH AVE NE STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726782",
            "telephone_number": "253-447-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34616 11th Pl S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038705",
            "country_code": "US",
            "telephone_number": "253-874-7842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "ALLISON",
        "middle_name": "JONES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT.60879030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalise Vue
• Christine Konhzoua Vue, OTR
• Ann Waddell
• Zerka Wadood, M.D.
• Clark M Waffle, M.D.
• Robert Eugene Wagner, D.C.
• Steven William Wagner
• Tiffany Wagner, LMP
• Valerie Ann Wagoner, SLP
• Jeffrey Allen Waguespack, MSPT

• Occupational Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.