Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174005805 Deactivated / Inactive NPI Female Practitioner

Janice Lynn Waggoner , PT

Physical Therapist • Nacogdoches, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Janice Waggoner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2018
NPI Deactivation Date April 10, 2024
Total Practice Duration ~6 Years of Practice (2018 – 2024)

Professional Overview & Biography Verified Profile Summary

Janice Waggoner, PT was a registered Physical Therapist practicing in Nacogdoches, TX. Throughout an active medical career spanning 6 years, Janice Waggoner provided care at the practice location at 4920 NE STALLINGS DR until profile deactivation on 2024-04-10.

Practice Location & Contact Primary Location

Practice Address

4920 Ne Stallings Dr

Nacogdoches, TX 759651254

Telephone 9365683158
Associated Practice Facility / Clinic
🏢 Th Healthcare, Ltd Facility NPI 1700885076

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Nacogdoches, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Nacogdoches, TX (15382 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

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License TX 1067296

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Laurayne Hurst , PT

Physical Therapist

NPI 1851389068

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active August 29, 2018

NPI status registered as active in NPPES database

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Updated Practice Location August 29, 2018

Registered at 4920 NE STALLINGS DR, NACOGDOCHES, TX 759651254 (Tel: 9365683158)

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Updated Business Mailing Address August 29, 2018

Registered at 123 ELM ST, NACOGDOCHES, TX 759652849

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Provider Name / Credentials Updated August 29, 2018

Recorded as JANICE WAGGONER, PT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2018

Physical Therapist (License #1067296 in TX)

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Initial NPI Registration & Enumeration August 29, 2018

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: 1174005805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2018
Last Update: August 29, 2018
Deactivation Date: April 10, 2024

Mailing Address

123 Elm St

Nacogdoches, TX 759652849

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.