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

NPI Status: Active since November 11, 2019

Contact Information

8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX
ZIP 77640
Phone: (409) 721-8600

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  • Individual
  • Female
  • Occupational Therapy Assistant

About KELLI WAGGONNER

This page provides the complete NPI Profile along with additional information for Kelli Waggonner, a provider established in Port Arthur, Texas with a medical specialization in Occupational Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1790320034 assigned on November 2019. The practitioner's primary taxonomy code is 224Z00000X with license number 212923 (TX). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1790320034
Provider Name
KELLI WAGGONNER
Gender
Female
Entity Type
Individual
Location Address
8595 MEDICAL CENTER BLVD PORT ARTHUR, TX 77640
Location Phone
(409) 721-8600
Mailing Address
5685 PAT DR ORANGE, TX 77630
Is Sole Proprietor?
No
Enumeration Date
11-11-2019
Last Update Date
11-11-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapy Assistant

Taxonomy Code
224Z00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
212923
License State
TX
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790320034
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718062006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 6 + 2 + 0 + 0 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1790320034 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801375175 DANAE SIMMONS M.S. CCC-SLP
Individual
Speech-Language Pathologist8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 721-8600
1760961759MRS. KATHERINE LAFLEUR TATUM M.S., CCC-SLP
Individual
Speech-Language Pathologist8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 721-8600
1306326830MS. TRINA ANN BIVENS OTR
Individual
Occupational Therapist (Physical Rehabilitation)8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 721-8600
1336629864 REBECCA ANN DUNLAP
Individual
Occupational Therapy Assistant8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 721-8600
1023598117 DELLA HOKETT COTA/L
Individual
Occupational Therapy Assistant8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 673-4079
1770063653MR. ROY CULVER JR. PTA
Individual
Physical Therapy Assistant8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 721-8600
1336886605PRESTIGE MEDICAL SERVICES, PLLC
Organization
Clinic/Center (Multi-Specialty)8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 344-4466
1891417655 TRISHA RENEE IRWIN OTR/L
Individual
Occupational Therapist8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 721-8600
1639700461TYLER COUNTY HOSPITAL DISTRICT
Organization
Skilled Nursing Facility8595 MEDICAL CENTER BLVD
PORT ARTHUR, TX 77640
(409) 727-1525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790320034, enumerated in the NPI registry as an "individual" on November 11, 2019

The provider is located at 8595 Medical Center Blvd Port Arthur, Tx 77640 and the phone number is (409) 721-8600

The provider's speciality is Occupational Therapy Assistant with taxonomy code 224Z00000X

This NPI record was last updated on November 11, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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