IndividualActive
Nicole Deverteuil-Waggoner, PT
NPI 1992798607 · Physical Therapist · Plantation, FL
Provider details
- NPI number
- 1992798607
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT18177 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
12341 Nw 18th St
Plantation, FL 33323-2122
Phone: (954) 478-4648
Fax: (954) 530-5694
Street-level locationGet directions
Mailing address
8100 Nw 101st Ave
Tamarac, FL 33321-1235
Registry dates
- Enumerated
- 2005-08-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.