Individual provider Active NPI

Khyati Ajay Merchant, PT, TDPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1497003826
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20976 Issued in NC
Practice address
4833 Berewick Town Center Dr Ste H
Charlotte, NC 28278-6721
Phone
(980) 880-6780
NPI assigned
Aug 15, 2012
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1198048 TX
Physical Therapist 225100000X 12295 SC
Physical Therapist 225100000X P20976 NC Primary

Addresses

Primary practice location

4833 Berewick Town Center Dr Ste H
Charlotte, NC 28278-6721

Mailing address

4074 Wild Turkey LN
Indian Land, SC 29707-0063
Phone (214) 475-9362

Other practice location 1

1901 N MacArthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8155

Other practice location 2

7427 Matthews Mint Hill Rd Ste 103
Mint Hill, NC 28227-7863
Phone (980) 729-6525

Other practice location 3

439 Channel Rd Ste 102
Lake Wylie, SC 29710-6101
Phone (803) 746-7800

Other identifiers 1

IdentifierTypeStateIssuer
20976OtherNCLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240325000847 NC Practitioner - Physical Therapist in Private Practice 6204242563 Reassigns benefits to 2 organizations
I20241010001929 SC Practitioner - Physical Therapist in Private Practice 6204242563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4074 Wild Turkey LN
Indian Land, SC 29707-0063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Focus, Inc. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Dec 7, 2023 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Dec 7, 2023 Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Lotus Physical Therapy and Pelvic Health LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
H2 Health Pelvic Services LLC Past Accepting new patients
Comprehab LLC Physical Therapist PastSince Feb 1, 2022 Accepting new patients
Texas Health Care, P.L.L.C. Physical Therapist PastSince Feb 1, 2021 Accepting new patients

Locations

4833 Berewick Town Center Dr
Ste H
Charlotte, NC 28278
Phone (980) 880-6780

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

439 Channel Rd
Ste 102
Lake Wylie, SC 29710
Phone (619) 977-0480

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1497003826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4074 WILD TURKEY LN",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297070063",
            "telephone_number": "214-475-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 BEREWICK TOWN CENTER DR STE H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786721",
            "telephone_number": "980-880-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750612220",
            "country_code": "US",
            "telephone_number": "972-579-8155",
            "fax_number": "972-579-4398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7427 Matthews Mint Hill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282277863",
            "country_code": "US",
            "telephone_number": "980-729-6525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "439 Channel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lake Wylie",
            "state": "SC",
            "postal_code": "297106101",
            "country_code": "US",
            "telephone_number": "803-746-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "KHYATI",
        "middle_name": "AJAY",
        "credential": "PT, TDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1198048",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12295",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20976",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.