John Hastings Waggoner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH6826 Issued in AL

Practice address

402 S Wilson Dam Rd
Muscle Shoals, AL 35661-3662

Phone

(256) 715-5868

Fax

(256) 253-5633

NPI assigned

Jun 4, 2013

Last updated

Dec 31, 2023By the provider in NPPES

Sex

Male

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

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine & Sport Physical Therapist Care LLC

  • Physical Therapist
  • Muscle Shoals, AL
  • NPI 1487374930
  Medicare reassignment NPD Authorized official
• Drayer Physical Therapy-Alabama, LLC

  • Physical Therapist
  • Gardendale, AL
  • NPI 1023440583
  Medicare reassignment NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  AL, Physical Therapist

  Medicare reassignment NPD
• Drayer Physical Therapy Alabama LLC

  • Physical Therapy Clinic/Center
  • Northport, AL
  • NPI 1417593625
  NPD
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1255779922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 RIVER BLUFF TER",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356602553",
            "telephone_number": "865-332-7422",
            "fax_number": "256-253-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S WILSON DAM RD",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613662",
            "telephone_number": "256-715-5868",
            "fax_number": "256-253-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "JOHN",
        "middle_name": "HASTINGS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Chiropractic, Inc.
• Valley Medical and Urgent Care, LLC
• Vital Healthcare LLC
• Jewel Marie Wade, LICSW
• Pamela Mae Wade, CRNA
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0660)
• Wal-Mart Stores East, LP (Vision Center 30-0660)
• Walgreen Co (Walgreens #1109-2)
• Walgreen Co (Walgreens #02557)
• Taylor Tidwell Wallace, OTR/L, RN

• Physical Therapist in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; 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.