Individual provider Active NPI

Richard Khang, PT, DPT

  • Physical Therapist
  • Waxhaw, NC
National Provider Identifier
1720606569
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19604 Issued in NC
Practice address
2300 Gallberry LN
Waxhaw, NC 28173-0161
Phone
(704) 649-4509
NPI assigned
Jul 8, 2020
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19604 NC Primary
Pediatric Physical Therapist 2251P0200X P19604 NC

Addresses

Primary practice location

2300 Gallberry LN
Waxhaw, NC 28173-0161

Mailing address

646 7TH Avenue PL SE
Hickory, NC 28602-3927
Phone (828) 781-3018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519002680 NC Practitioner - Physical Therapist in Private Practice 1052798618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kidology, Inc Physical Therapist CurrentSince Mar 18, 2022 Accepting new patients
Milestone Therapy Inc Physical Therapist PastSince Oct 8, 2023 Accepting new patients
Kids First Therapy, LLC Physical Therapist PastSince Jul 12, 2020 Accepting new patients

Locations

1244 N Flint St
Lincolnton, NC 28092
Phone (704) 740-0676

Organizations & group practices 3

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1720606569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 7TH AVENUE PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023927",
            "telephone_number": "828-781-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GALLBERRY LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730161",
            "telephone_number": "704-649-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANG",
        "first_name": "RICHARD",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19604",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P19604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.