KELLI WAGGONNER
NPI 1790320034
Occupational Therapy Assistant in Port Arthur, TX

Active since November 11, 2019
8595 MEDICAL CENTER BLVD, PORT ARTHUR, TX 77640(409) 721-8600 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli Waggonner NPPES

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

KELLI WAGGONNER (NPI 1790320034) is an individual occupational therapy assistant in Port Arthur, Texas, licensed in Texas (212923) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1790320034
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameKELLI WAGGONNER
Location Address8595 MEDICAL CENTER BLVDPort Arthur, TX 77640-2428
Mailing Address5685 Pat DrOrange, TX 77630-7571
Sole ProprietorNo
Enumeration DateNovember 11, 2019
NPI 1790320034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in TX · 212923
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
8595 MEDICAL CENTER BLVD, Port Arthur, TX 77640

Other Providers at the Same Location NPPES 11

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

Occupational Therapy Assistant
8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
Occupational Therapist (Physical Rehabilitation)
8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
Occupational Therapy Assistant
8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
Clinic/Center (Multi-Specialty)
8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
Skilled Nursing Facility
8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
Internal Medicine
8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
Speech-Language Pathologist
8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
Physical Therapy Assistant
8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Waggonner's NPI number?

The NPI number for Kelli Waggonner is 1790320034. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Where is Kelli Waggonner located?

Kelli Waggonner practices at 8595 Medical Center Blvd, Port Arthur, TX 77640. The listed phone number is (409) 721-8600.

What is Kelli Waggonner's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Kelli Waggonner was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.