Jeffrey Alan Waldron, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT00008858 Issued in WA

Practice address

21009 76TH Ave W
Edmonds, WA 98026-7126

Phone

(425) 672-2910

Fax

(425) 778-1872

NPI assigned

May 5, 2006

Last updated

Jul 13, 2026By 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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axis Physical Therapy IncGroup PAC ID 6901804210, 4 clinicians

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.

• Axis Physical Therapy Inc

  • Physical Therapist
  • Edmonds, WA
  • NPI 1205864816
  Medicare reassignment Care Compare group NPD Authorized official
• Martha Lake Physical Therapy Inc

  dba Axis Physical Therapy Inc

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1104265412
  Authorized official Same address or phone
• Summit Rehabilitation PLLC

  dba Summit Rehab

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396793667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21009 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267126",
            "telephone_number": "425-672-2910",
            "fax_number": "425-778-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21009 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267126",
            "telephone_number": "425-672-2910",
            "fax_number": "425-778-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00008858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Wagner
• Kelly Anne Wagner, MS CCC-SLP
• Susan Wainer, RN
• Christopher K. Wakely, N.D.
• John J. Waldburger, MD
• Matthew Kevin Waldron, MATTHEW WALDRON D.C.
• Walgreen Co (Walgreens #15404)
• Tiffany Walker, PA-C
• Aubrey Kathleen Wallace, N.D.
• Michael Wallach, M.ED

• Orthopedic Physical Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.