Individual provider Active NPI

John Darin Waldon, MPT

  • Physical Therapist
  • Mt Pleasant, TX
National Provider Identifier
1811935901
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1135085 Issued in TX
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

Updated by the provider on Sep 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 15 clinicians

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 100Reported as group
Quality
80
Improvement activities
40
Cost
72.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chambers Outpatient Rehab Services, LLC Physical Therapist CurrentSince Mar 24, 2008 Accepting new patients
Mount Pleasant Physical Therapy PC Physical Therapist PastSince Sep 20, 2004 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.

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.

Verify at the official NPI Registry.