MR. CHAD CLARENCE HERGOTT (PT) – Physical Therapist, NPI 1356673768

MR. CHAD CLARENCE HERGOTT (PT) is a healthcare provider. based in Rochester, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 7918 (MN). The NPI Number for MR. CHAD CLARENCE HERGOTT (PT) is 1356673768

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHAD CLARENCE HERGOTT (PT)
NPI
1356673768
Phone
(507) 923-2139
Address
401 16TH ST SE STE 208
Enumeration Date
10 February 2010
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5079232139
Graduation Year
2007 (19 years ago)
PAC ID
9739593963
Group Practice PAC ID
4486552593
Professional Enrollment ID
I20210130000234
Address ID
MN559047974RO401XXSEXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for MR. CHAD CLARENCE HERGOTT (PT)

  • 401 16TH ST SE STE 208

    ROCHESTER, MN 559047974

    Phone: (507) 923-2139

    Fax: (507) 923-2175

    Type: Location

  • 125 Elton Hills Dr NW

    Rochester, MN 559013581

    Phone: (507) 923-2139

    Fax: (507) 923-2175

    Type: Location

  • 7581 9TH ST N STE 100

    OAKDALE, MN 551286635

    Phone: (651) 748-4338

    Type: Mailing

  • 13352 ABERDEEN ST NE STE A

    HAM LAKE, MN 553046877

    Phone: (763) 444-1101

    Fax: (763) 225-4658

    Type: Location

  • 139, Main Street, Bethel, Unorganized Borough, Alaska, 99559, United States

    PO BOX 136

    BETHEL, MN 55005

    Phone: (763) 269-8051

    Fax: (763) 269-8053

    Type: Mailing

  • Great Clips, 16210, Aberdeen Street Northeast, Ham Lake, Anoka County, Minnesota, 55304, United States

    HAM LAKE, MN 553045410

    Phone: (763) 413-0880

    Fax: (763) 413-0850

    Type: Location

  • 1939 MINNEHAHA AVE W STE 300

    SAINT PAUL, MN 551041033

    Phone: (651) 748-4338

    Fax: (651) 748-2892

    Type: Mailing

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: 2021-01-30

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
I20210130000234IPhysical Therapist In Private PracticeMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55904)

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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: 4486552593View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-WI
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
-MN

Reviews

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Frequently asked questions

Does MR. CHAD CLARENCE HERGOTT (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. CHAD CLARENCE HERGOTT (PT) uses 1356673768.
Is MR. CHAD CLARENCE HERGOTT (PT) listed as active for patients and plans?
The listing shows MR. CHAD CLARENCE HERGOTT (PT) as active in the NPI system.
What is MR. CHAD CLARENCE HERGOTT (PT)'s specialty?
The listing groups MR. CHAD CLARENCE HERGOTT (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. CHAD CLARENCE HERGOTT (PT)?
MR. CHAD CLARENCE HERGOTT (PT)'s geographic hint is Rochester, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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