Lonnie R. Hergott, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003346 Issued in GA

Practice address

1305 Dantignac St
Augusta, GA 30901-2774

Phone

(706) 823-3807

Fax

(706) 823-3810

NPI assigned

Jan 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Denver Pain Relief Center PLLCGroup PAC ID 0749653202, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Denver Pain Relief Center PLLC

  • Nurse Practitioner
  • Denver, CO
  • NPI 1447963491
  Medicare reassignment Care Compare group NPD
• Peak Rehabilitation, Fitness and Performance Center LLC

  • Physical Therapist
  • Aiken, SC
  • NPI 1669909693
  NPD (past)

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1366680852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 DANTIGNAC ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012774",
            "telephone_number": "706-823-3807",
            "fax_number": "706-823-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 DANTIGNAC ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012774",
            "telephone_number": "706-823-3807",
            "fax_number": "706-823-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGOTT",
        "first_name": "LONNIE",
        "middle_name": "R.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George P Hentges, CRNA
• Lauren Henthorn
• Princess Henton
• Yejin Heo
• Anam Asif Herekar, MD
• Ashlyn Brooke Cates Herman, MD
• Jason W Herman, RN
• Wayne William Herman, DDS
• Francisco J Hernandez Munoz, M.D.
• Crystal Hernandez

• Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.