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

Mr. Adam Clark Waggoner, DPT

Individual provider Physical Therapist · NPI 1629453139

Mr. Adam Clark Waggoner, DPT is a Physical Therapist in Private Practice in Seattle, Washington. Qualified in 2016, 10 years ago. Practices with Prevail Practices PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2015
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

408 NE 72nd St
Seattle, WA 98115-5409
Phone: (206) 524-5115
Fax: (206) 524-2456
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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 PT60594917 (WA)

Record details

NPI number1629453139
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 26, 2015
Last updated in NPPESNovember 30, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Prevail Practices Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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