P Praxis·MD
● Active Type 1 · Individual

Nathan Waggoner

Physical Therapy Assistant·Fort Worth, TX· NPI 1356177471 · Enumerated 2024 · 1 years on NPI
Waggoner is 1 of 130 physical therapy assistant providers in Fort Worth and 1 of 5445 in Texas.
NPI age
1 years
Enumerated 2024-09-13
Primary specialty
Physical Therapy Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5445 active physical therapy assistant providers in Texas.

NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Practice location
11801 South Freeway
Fort Worth, TX 76115
📞 8175512747
Mailing address
1017 Red Cedar Way
Burleson, TX 760288320

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    TX license #2113657 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new physical therapy assistant providers have been added in Fort Worth in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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