NPIMap

Organization Active NPI

Architech Sports and Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Charlotte, NC
National Provider Identifier
1619647344
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ARCHITECH SPORTS AND PHYSICAL THERAPY, LLC
Practice address
8100 Old Mallard Creek Rd
Charlotte, NC 28262-2238
Phone
(980) 299-2048
NPI assigned
Sep 14, 2021
Organization subpart
Yes
Parent organization
ARCHITECH SPORTS AND PHYSICAL THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Kaja Ikoh
Title
Credentialing Specialist
Phone
(704) 900-8960

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

8100 Old Mallard Creek Rd
Charlotte, NC 28262-2238

Mailing address

8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692
Phone (704) 609-0357

Other names 1

  • Architech Sports and Physical Therapy, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Architech Sports and Physical Therapy LLC9 organizations share this tax ID, including this one
Part of
Architech Sports and Physical Therapy LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8100 Old Mallard Creek Rd
Charlotte, NC 28262
Phone (980) 299-2048

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1619647344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 BLAKENEY PROFESSIONAL DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776692",
            "telephone_number": "704-609-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 OLD MALLARD CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622238",
            "telephone_number": "980-299-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHITECH SPORTS AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCHITECH SPORTS AND PHYSICAL THERAPY, INC.",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "IKOH",
        "authorized_official_first_name": "KAJA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "704-900-8960"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Architech Sports and Physical Therapy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 3, 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.