Chandra Denise Heaven, LPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

P11369 Issued in NC

Practice address

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-1700

Phone

(910) 907-8922

Fax

(910) 907-6069

NPI assigned

Sep 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Chandra Denise Hargrove Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1609100635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283101700",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283101700",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVEN",
        "first_name": "CHANDRA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P11369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDRA",
            "last_name": "HARGROVE",
            "middle_name": "DENISE",
            "prefix": "MRS.",
            "credential": "LPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Matthew Hawkins, M.D.
• Amanda Louise Hawks, PHARM.D.
• Christine Rae Haywood, LCSW
• Gary Hazlett, PSYD
• William Charles Healey, DPM
• Kristina Metz Hedrick, PA-C
• Jessica Heffel, LAT, ATC
• Dan Heidenreich, PA-C
• Kerri Ann Henderson, DPT
• Amy Heniger

• Orthopedic Physical Therapist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.