Organization Active NPI

Heartbeat RT-LLC

Doing business as Heartbeat RT

  • Recreation Therapist
  • Wake Forest, NC
National Provider Identifier
1306686357
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
HEARTBEAT RT-LLC
Doing business as
Heartbeat RT
Practice address
2400 Alstonburg Ave
Wake Forest, NC 27587-9384
Phone
(910) 515-3492
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kywana Renee Corbett, LRT, CTRSNPI 1073362612
Title
Recreation Therapist
Phone
(910) 515-3492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X NU Primary

Addresses

Primary practice location

2400 Alstonburg Ave
Wake Forest, NC 27587-9384

Mailing address

2400 Alstonburg Ave
Wake Forest, NC 27587-9384
Phone (910) 515-3492

Other names 1

  • Heartbeat RT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1306686357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ALSTONBURG AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879384",
            "telephone_number": "910-515-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ALSTONBURG AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879384",
            "telephone_number": "910-515-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTBEAT RT-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "KYWANA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "RECREATION THERAPIST",
        "authorized_official_telephone_number": "910-515-3492",
        "authorized_official_credential": "LRT, CTRS"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartbeat RT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.