Herealgood, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HEREALGOOD, LLC

Doing business as

The Charlotte PT Room

Practice address

322 Lamar Ave Ste 101
Charlotte, NC 28204-2436

Phone

(703) 401-1677

NPI assigned

Dec 2, 2019

Last updated

Dec 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen John Ingersoll II, DPTNPI 1629562301

Title

Owner

Phone

(703) 401-1677

Specialties & licenses 1

Addresses

Other names 1

• The Charlotte PT Room Doing business as

Locations

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.

• Stephen J Ingersoll II

  • Physical Therapist
  • Charlotte, NC
  • NPI 1629562301
  Authorized official Same address or phone

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1902443666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 WATERBURY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093044",
            "telephone_number": "703-401-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAMAR AVE STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042436",
            "telephone_number": "703-401-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEREALGOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "INGERSOLL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-401-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Charlotte PT Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystal Danelle Herbert, LCSWA
• Rehaana Herbert
• Miyah Alyse Herbin, MSN, APRN, WHNP-BC
• Megan A Herbst
• Jazmine Hercules
• Nicole Hereim
• Teal M Herendeen, OMT
• Heritage Home Care of Charlotte
• Heritage Home Care of Greensboro Inc. (Heritage Home Care Agency Inc.)
• Heritage Homecare of Gastonia

• Physical Therapy Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.