MR. ADAM CLARK WAGGONER D.P.T.
NPI 1629453139
Physical Therapist in Seattle, WA

Active since July 26, 2015Accepts Medicare Assignment
408 NE 72ND ST, SEATTLE, WA 98115(206) 524-5115(206) 524-2456 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 30, 2015, Nov 19, 2015 (2 updates tracked since 2015).

About Mr. Adam Clark Waggoner D.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ADAM CLARK WAGGONER D.P.T. (NPI 1629453139) is an individual physical therapist in Seattle, Washington, licensed in Washington (PT60594917) and active in the NPI registry since July 2015. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1629453139
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. ADAM CLARK WAGGONERCredential: D.P.T.
Location Address408 NE 72ND STSeattle, WA 98115-5409
Mailing Address408 Ne 72nd StSeattle, WA 98115-5409 · (206) 524-5115 · Fax (206) 524-2456
Fax(206) 524-2456
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 26, 2015
Last NPPES UpdateNovember 30, 20152 updates tracked since enumeration
NPI 1629453139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WA · PT60594917
Definition

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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

408 NE 72ND ST, Seattle, WA 98115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Adam Clark Waggoner D.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234577172
PECOS Enrollment IDI20240410003541

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
151 services16 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
140 services19 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
50 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
408 NE 72ND ST
SEATTLE, WA 98115
Physical Therapist
408 NE 72ND ST
SEATTLE, WA 98115
Physical Therapist (Sports)
408 NE 72ND ST
SEATTLE, WA 98115
Physical Therapist (Orthopedic)
408 NE 72ND ST
SEATTLE, WA 98115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629453139, enumerated as an "individual" on July 26, 2015.

The provider is located at 408 NE 72ND ST SEATTLE, WA 98115 and the phone number is (206) 524-5115.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.