{"npi":"1639645245","type":"NPI-1","status":"active","name":{"display":"Cameron Waggoner Pt, Dpt, Ncs","other":[],"first":"CAMERON","last":"WAGGONER","credential":"PT, DPT, NCS"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"VA","license":"2305212507"}]},"addresses":[{"purpose":"LOCATION","street_1":"400 MADISON ST APT 1406","city":"ALEXANDRIA","state":"VA","postal_code":"223141724","country_code":"US","phone":"9012888062"},{"purpose":"MAILING","street_1":"PO BOX 25451","city":"ALEXANDRIA","state":"VA","postal_code":"223135451","country_code":"US","phone":"9012888063"}],"license":{"state":"VA","number":"2305212507"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240814002935","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"DC","pac_id":"3678011293"}]},"enumeration_date":"2018-10-22","last_updated":"2024-06-17","_meta":{"source":"NPPES","snapshot_date":"2024-06-17","doc_url":"https://findmynpi.com/api"}}