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

Jason Waddles, DPT

Individual provider Physical Therapist · NPI 1063062875

Jason Waddles, DPT is a Physical Therapist in Georgetown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2019.

Licensed in
KY
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

101 Eastside Dr Ste D
Georgetown, KY 40324-8763
Phone: (502) 867-0111
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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 TP2019119 (KY)

Record details

NPI number1063062875
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESSeptember 13, 2019

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