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

Mr. William Wallace Waggoner, PT

Individual provider Physical Therapist · NPI 1255368049

Mr. William Wallace Waggoner, PT is a Physical Therapist in Private Practice in West Lafayette, Indiana. Qualified in 1997, 29 years ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
29
Licensed in
IN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

500 Sagamore Pkwy W Ste 2W
West Lafayette, IN 47906-1459
Phone: (765) 250-9660
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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 05006050A (IN)

Record details

NPI number1255368049
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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