MR. CHAD CLARENCE HERGOTT (PT) – Physical Therapist, NPI 1356673768
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210130000234 | I | Physical Therapist In Private Practice | MN | TBD |
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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | WI | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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