Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tracy Lee Waggoner, MPT

Individual provider Physical Therapist · NPI 1487856548

Mrs. Tracy Lee Waggoner, MPT is registered under Physical Therapist in Private Practice in Hutsonville, Illinois. Qualified in 1996, 30 years ago. Practices with Empowerme Rehabilitation Illinois LLC, a 367-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Licensed in
IL
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

609 N Pleasant St
Hutsonville, IL 62433-1119 Not confirmed with CMS for 19 years — call before visiting
Phone: (618) 563-9395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1487856548
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedJune 1, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Empowerme Rehabilitation Illinois Llc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Empowerme Rehabilitation Illinois LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 367 clinicians in the practice; 12 are shown here.