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

Phillip Ray Waggoner, PT

Individual provider Physical Therapist · NPI 1205018710

Phillip Ray Waggoner, PT is a Physical Therapist in Coral Gables, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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

5915 Ponce De Leon Blvd Plumer Bldg 5TH Fl
Coral Gables, FL 33146-2435
Phone: (305) 284-4535
Fax: (305) 284-6128
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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 PT 7485 (FL)

Record details

NPI number1205018710
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 27, 2007
Last updated in NPPESNovember 27, 2007
Mailing address5915 Ponce De Leon Blvd, Plumer Bldg.,5th Floor, Coral Gables, FL 33146-2435

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