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

Jennifer Waggoner, PTA

Individual provider Physical Therapy Assistant · NPI 1144409657

Jennifer Waggoner, PTA is a Physical Therapy Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0021A (AZ)

Record details

NPI number1144409657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 31, 2007
Last updated in NPPESOctober 31, 2007
Mailing address5777 E Mayo Blvd, Phoenix, AZ 85054-4502

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