Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Cameron Waggoner, PT, DPT, NCS

Individual provider Physical Therapist · NPI 1639645245

Cameron Waggoner, PT, DPT, NCS is registered under Physical Therapist in Private Practice in Alexandria, Virginia. Qualified in 2013, 13 years ago. Practices with Goodwin House Home and Community Based Services, a 15-clinician group. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 Madison St Apt 1406
Alexandria, VA 22314-1724
Phone: (901) 288-8062
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305212507 (VA)

Record details

NPI number1639645245
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , NCS
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Goodwin House Home And Community Based Services — 15 clinicians
Accepts Medicare assignment Not indicated

Colleagues at Goodwin House Home and Community Based Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 15 clinicians in the practice; 12 are shown here.

Other providers in Alexandria