Active NPI
John Darin Waldon, MPT
- Physical Therapist
- Mt Pleasant, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1135085
- Practice address
- 1406 Shadywood LN
Mt Pleasant, TX 75455-5337 - Phone
- (903) 572-6100
- Fax
- (903) 572-6127
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1135085 | TX | Primary |
Addresses
Primary practice location
1406 Shadywood LN
Mt Pleasant, TX 75455-5337
Mailing address
1312 S Jefferson Ave
Mt Pleasant, TX 75455-5355
Phone (903) 572-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060822000123 | TX | Practitioner - Physical Therapist in Private Practice | 4880697473 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chambers Outpatient Rehab Services LLC
Practice addresses (Care Compare)
1406 Shadywood LN
Mount Pleasant, TX 75455-5337
Phone (903) 572-6100
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 72.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambers Outpatient Rehab Services, LLC | Physical Therapist | Current | Accepting new patients |
| Mount Pleasant Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
405 E Marshall St
Gilmer, TX 75644
Phone (903) 402-1052
1406 Shadywood Ln
Mt Pleasant, TX 75455
Phone (903) 572-6100
1312 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6100
Organizations & group practices 2
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.
-
- Physical Therapist
- Mt Pleasant, TX
- NPI 1356538136
-
- Physical Therapist
- New Boston, TX
- NPI 1366497570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1811935901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 S JEFFERSON AVE",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754555355",
"telephone_number": "903-572-6100",
"fax_number": "903-572-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 SHADYWOOD LN",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754555337",
"telephone_number": "903-572-6100",
"fax_number": "903-572-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDON",
"first_name": "JOHN",
"middle_name": "DARIN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1135085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.