Active NPI
Richard Khang, PT, DPT
- Physical Therapist
- Waxhaw, NC
National Provider Identifier
1720606569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19604
- Practice address
- 2300 Gallberry LN
Waxhaw, NC 28173-0161 - Phone
- (704) 649-4509
- NPI assigned
- Jul 8, 2020
- Last updated
- Sep 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidology, Inc | Physical Therapist | Current | Accepting new patients |
| Milestone Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Kids First Therapy, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Lincolnton, NC
- NPI 1730591991
-
- Pediatric Physical Therapist
- Morganton, NC
- NPI 1649423823
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.