MR. EDSEL LIGUTOM JR. PT
NPI 1710854013
Physical Therapist - Geriatrics in Waco, TX

Q: What is Edsel Ligutom's NPI number?

The NPI number for Edsel Ligutom is 1710854013. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Q: What is Edsel Ligutom's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Edsel Ligutom was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 21, 2025

1400 LAKE SHORE DR, WACO, TX 76708(254) 753-0291 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Edsel Ligutom Jr. Pt NPPES

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

MR. EDSEL LIGUTOM JR. PT (NPI 1710854013) is an individual geriatrics provider in Waco, Texas, licensed in Texas (1293040) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1710854013

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameMR. EDSEL LIGUTOM JR.Credential: PT

Location Address1400 LAKE SHORE DRWaco, TX 76708-3718

Mailing Address2817 Sherco RdLorena, TX 76655-4097

Phone(254) 753-0291

Sole ProprietorYes

Enumeration DateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1710854013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in TX · 1293040

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

1400 LAKE SHORE DR, Waco, TX 76708

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Other Providers at the Same Location NPPES 6

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

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