Kelli Waggonner
NPI 1790320034 · Occupational Therapy Assistant · Port Arthur, TX
Kelli Waggonner is a Occupational Therapy Assistant provider in Port Arthur, TX (NPI 1790320034).
Provider details
- NPI number
- 1790320034
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 212923 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-11
- Last updated
- 2019-11-11
Frequently asked questions
- What is Kelli Waggonner's NPI number?
- Kelli Waggonner's National Provider Identifier (NPI) is 1790320034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelli Waggonner's specialty?
- Kelli Waggonner is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelli Waggonner located?
- Kelli Waggonner's practice location on file with NPPES is 8595 Medical Center Blvd, Port Arthur, TX 77640-2428.
- What is Kelli Waggonner's phone number?
- The practice phone number listed in the NPPES registry for Kelli Waggonner is (409) 721-8600.
- Is Kelli Waggonner's NPI active?
- Yes — Kelli Waggonner's NPI (1790320034) is active in the NPPES registry as of the last update on 2019-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.