STEPHEN JAMES WAGGONER PT
NPI 1043895261
Physical Therapist in Winston Salem, NC

Active since March 10, 2021
190 KIMEL PARK DR STE 139, WINSTON SALEM, NC 27103(336) 718-6931(336) 718-3389 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2021, Mar 30, 2021, Mar 10, 2021 (3 updates tracked since 2021).

  • Individual
  • Male
  • Physical Therapist
  • Accepts Insurance

About STEPHEN WAGGONER

This page provides the complete NPI Profile along with additional information for Stephen Waggoner, a provider established in Winston Salem, North Carolina with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1043895261 assigned on March 2021. The practitioner's primary taxonomy code is 225100000X with license number P15783 (NC). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1043895261 Verify this NPI
Provider Name
STEPHEN JAMES WAGGONER PT
Gender
Male
Entity Type
Individual
Location Address
190 KIMEL PARK DR STE 139 WINSTON SALEM, NC 27103
Location Phone
(336) 718-6931
Location Fax
(336) 718-3389
Mailing Address
PO BOX 601791 CHARLOTTE, NC 28260
Mailing Phone
(336) 718-6931
Mailing Fax
(336) 718-3389
Is Sole Proprietor?
No
Enumeration Date
03-10-2021
Last Update Date
06-16-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
P15783
License State
NC
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation (Neuromuscular Medicine)
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Physical Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Occupational Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Occupational Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Physical Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Speech-Language Pathologist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Speech-Language Pathologist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Physical Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Occupational Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Physical Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Physical Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Physical Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Occupational Therapist (Gerontology)
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103
Occupational Therapist
190 KIMEL PARK DR STE 139
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043895261, enumerated as an "individual" on March 10, 2021.

The provider is located at 190 KIMEL PARK DR STE 139 WINSTON SALEM, NC 27103 and the phone number is (336) 718-6931.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.