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

Jessica Nicole Waggoner, PTA

Individual provider Physical Therapy Assistant · NPI 1659845428

Jessica Nicole Waggoner, PTA is a Physical Therapy Assistant in Louisville, Kentucky. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
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

2701 Chestnut Station Ct
Louisville, KY 40299-6395
Phone: (800) 335-1060
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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 A-1769514 (OH)

Record details

NPI number1659845428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 15, 2019
Last updated in NPPESJanuary 15, 2019

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