ANTHONY CHARLES WAGGONER (DPT) – Physical Therapist, NPI 1801354865

ANTHONY CHARLES WAGGONER (DPT) is a healthcare provider. based in Yuba city, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 296427 (CA). The NPI Number for ANTHONY CHARLES WAGGONER (DPT) is 1801354865

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY CHARLES WAGGONER (DPT)
NPI
1801354865
Phone
(530) 329-8490
Address
1103 BUTTE HOUSE RD STE D
Enumeration Date
8 March 2019
Last Update Date
8 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5303248490
Graduation Year
2018 (8 years ago)
PAC ID
5193050060
Group Practice PAC ID
8123385317
Professional Enrollment ID
I20190715002057
Address ID
CA959913109YU1103XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for ANTHONY CHARLES WAGGONER (DPT)

  • Butte House Road, Yuba City, Sutter County, California, United States

    YUBA CITY, CA 959913109

    Phone: (530) 329-8490

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190715002057IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,20893$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes80690$0
97140Therapy procedure using manual technique, each 15 minutes45958$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care33961$0
97162Evaluation for physical therapy, typically 30 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 95991)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123385317View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeND
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do payers reference ANTHONY CHARLES WAGGONER (DPT)?
For ANTHONY CHARLES WAGGONER (DPT), use NPI 1801354865 as the unique 10-digit identifier.
Would ANTHONY CHARLES WAGGONER (DPT) appear as active to a payer?
You can treat ANTHONY CHARLES WAGGONER (DPT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ANTHONY CHARLES WAGGONER (DPT)?
ANTHONY CHARLES WAGGONER (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in California is ANTHONY CHARLES WAGGONER (DPT) registered?
Use Yuba City, California as the headline location for ANTHONY CHARLES WAGGONER (DPT) here.
Can I trust this NPI listing for ANTHONY CHARLES WAGGONER (DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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