Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cameron Waggoner, PT, DPT, NCS

Individual provider Physical Therapist · NPI 1639645245

Cameron Waggoner, PT, DPT, NCS is a 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.

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Practice location Address checks out

400 Madison St Apt 1406
Alexandria, VA 22314-1724
Phone: (901) 288-8062
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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
Mailing addressPo Box 25451, Alexandria, VA 22313-5451

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

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