Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790320034 Individual Practitioner Female Practitioner

Kelli Waggonner

Occupational Therapy Assistant • Port Arthur, TX

Professional Overview & Biography Verified Profile Summary

Kelli Waggonner is a registered healthcare professional specializing in Occupational Therapy Assistant in Port Arthur, TX. Practice services are available at 8595 MEDICAL CENTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8595 Medical Center Blvd

Port Arthur, TX 776402428

Telephone 4097218600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Port Arthur, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Port Arthur, TX (4344 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

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License TX 212923

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Trina Bivens , OTR

Occupational Therapist - Physical Rehabilitation

NPI 1306326830

Occupational Therapist Registered

Rebecca Dunlap

Occupational Therapy Assistant

NPI 1336629864
Katherine Tatum , MS, CCC-SLP

Speech-Language Pathologist

NPI 1760961759

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Roy Culver , PTA

Physical Therapy Assistant

NPI 1770063653

Physical Therapist Assistant

Danae Simmons , MS CCC-SLP

Speech-Language Pathologist

NPI 1801375175

MSCCCSLP

Trisha Irwin , OTR, L

Occupational Therapist

NPI 1891417655

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2019

Registered at 8595 MEDICAL CENTER BLVD, PORT ARTHUR, TX 776402428 (Tel: 4097218600)

📍
Updated Business Mailing Address November 11, 2019

Registered at 5685 PAT DR, ORANGE, TX 776307571

👤
Provider Name / Credentials Updated November 11, 2019

Recorded as KELLI WAGGONNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2019

Occupational Therapy Assistant (License #212923 in TX)

🟢
Initial NPI Registration & Enumeration November 11, 2019

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: 1790320034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2019
Last Update: November 11, 2019
Sole Proprietor: No

Mailing Address

5685 Pat Dr

Orange, TX 776307571

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.