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Active NPI 1962201558 Individual Practitioner Male Practitioner

Jonathan Waggonner , PTA, CMT

Massage Therapist • Redlands, CA

Professional Overview & Biography Verified Profile Summary

Jonathan Waggonner, PTA, CMT is a registered healthcare professional specializing in Massage Therapist in Redlands, CA. Practice services are available at 1455 W PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1455 W Park Ave

Redlands, CA 923738178

Telephone 9097932225
Associated Practice Facility / Clinic
🏢 Donia Chiropractic, Inc. Facility NPI 1710346598

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Redlands, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Redlands, CA (5197 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-07
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1174212526

MASSGETHERAPIST

NPI 1356496996

Doctor of Chiropractic

Anne Cloud , LMT

Massage Therapist

NPI 1457907552

Licensed Massage Therapist

Stephanie Risaliti , MS, RD

Dietitian, Registered

NPI 1558917732

Master of Science, Registered Dietitian

Blain Quesada

Massage Therapist

NPI 1578362307
Devin Lynch , LNMT

Massage Therapist

NPI 1619523891

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2025

Registered at 1455 W PARK AVE, REDLANDS, CA 923738178 (Tel: 9097932225)

📍
Updated Business Mailing Address March 07, 2025

Registered at 1455 W PARK AVE, REDLANDS, CA 923738178 (Tel: 9097932225)

👤
Provider Name / Credentials Updated March 07, 2025

Recorded as JONATHAN WAGGONNER, PTA, CMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2025

Massage Therapist

🟢
Initial NPI Registration & Enumeration March 07, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962201558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2025
Last Update: March 07, 2025
Sole Proprietor: No

Mailing Address

1455 W Park Ave

Redlands, CA 923738178

Phone: 9097932225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.