Individual provider Active NPI

Maitri Pareshkumar Dave, PT

  • Physical Therapist
  • Indian Trail, NC
National Provider Identifier
1174487540
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24517 Issued in NC
Practice address
6437 Old Monroe Rd Ste E
Indian Trail, NC 28079-5415
Phone
(704) 686-7767
Fax
(704) 686-7732
NPI assigned
Dec 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P24517 NC Primary

Addresses

Primary practice location

6437 Old Monroe Rd Ste E
Indian Trail, NC 28079-5415

Mailing address

185 Longleaf Dr
Mooresville, NC 28117-9551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218000763 NC Practitioner - Physical Therapist in Private Practice 1557841525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aahvan LLCGroup PAC ID 0345628970, 10 clinicians

Practice addresses (Care Compare)

6437 Old Monroe Rd
Suite E
Indian Trail, NC 28079-5415
Phone (704) 686-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24517NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aahvan, LLC Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients
American Chiropractic Center, Inc. PastSince Dec 14, 2025 Accepting new patients

Locations

6437 Old Monroe Rd
Ste E
Indian Trail, NC 28079
Phone (704) 686-7156

1321 E Sunset Dr
Monroe, NC 28112
Phone (704) 248-6974

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1174487540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LONGLEAF DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 OLD MONROE RD STE E",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795415",
            "telephone_number": "704-686-7767",
            "fax_number": "704-686-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "MAITRI",
        "middle_name": "PARESHKUMAR",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.