Kelsey Paige Wiggs, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1194756 Issued in TX

Practice address

601 W Loop 340
Waco, TX 76712-6840

Phone

(254) 399-8255

Fax

(254) 235-3408

NPI assigned

Aug 17, 2010

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

Other names 1

• Kelsey Paige Jones Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Heart of Texas Region MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waco, TX
  • NPI 1639399132
  Medicare reassignment NPD
• Elite Therapy Services, LLC

  • Occupational Therapist
  • Waco, TX
  • NPI 1891967717
  NPD

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1811202559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23269",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767023269",
            "telephone_number": "254-399-8255",
            "fax_number": "254-235-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LOOP 340",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126840",
            "telephone_number": "254-399-8255",
            "fax_number": "254-235-3408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12371 S Kirkwood Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774772836",
            "country_code": "US",
            "telephone_number": "713-995-9292",
            "fax_number": "713-779-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGS",
        "first_name": "KELSEY",
        "middle_name": "PAIGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1194756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "JONES",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Severine M Whittier, CRNA
• Matthew S Wiberg
• Wic, LTD.
• Kimberly Wical
• Clarence Louis Widmann, O.D.
• Diana Lee Wilcox, PH.D.
• Patricia A Wilcox, M.D.
• Robert W Wilcox, M.D.
• Marcus Wild, PHD
• Christopher Robin Wilder, PH.D.

• Physical Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.