Adam Clark Waggoner, D.P.T.
NPI 1629453139ActiveIndividual· Physical Therapist· Seattle, WA
Physical Therapist (D.P.T.) with Prevail Practices PLLC, practicing in Seattle, Washington. Medicare paid $9,431 for services to 20 patients in 2024.
Overview
| NPI | 1629453139 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.T. |
| Sole proprietor | No |
| NPI issued | Jul 26, 2015 |
| Last updated in NPPES | Nov 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT60594917 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 417 across 8 procedure codes |
| Paid by Medicare | $9,431 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Prevail Practices PLLCShoreline, WA · 12 clinicians
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