Carly Mae Herget

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2024032825 Issued in MO

Practice address

610 Vineland School Rd
De Soto, MO 63020-2561

Phone

(636) 586-1000

NPI assigned

Sep 13, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• De Soto Public Schools

  • Local Education Agency (LEA)
  • De Soto, MO
  • NPI 1578730198
  NPD (past)

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1457188583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 HILLSBORO HOUSE SPRINGS RD",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630163602",
            "telephone_number": "636-495-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 VINELAND SCHOOL RD",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630202561",
            "telephone_number": "636-586-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGET",
        "first_name": "CARLY",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2024032825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graceful Mama Doula Network LLC
• Darrell Gene Grant, LPC
• Great Mines Health Center
• Sara Hasty
• Madison Lynn Hayes-Gowen
• Hillcrest Care Center, Inc. (Hillcrest Care Center)
• Whitney Renee Hollander, LCSW
• Hometown Healthcare of Desoto LLC
• John W Hussman
• Alyson Kay Jacobson

• Physical Therapy Assistant in De Soto, MO
• Providers in De Soto, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.