NPIMap

Organization Active NPI

Architech Sports and Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Charlotte, NC
National Provider Identifier
1780834697
Registry record updated Mar 16, 2026
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
8918 Blakeney Professional Dr
Charlotte, NC 28277-6691
Phone
(704) 900-8960
NPI assigned
Sep 27, 2008
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ARCHITECH SPORTS AND PHYSICAL THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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
(980) 264-7838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary
Physical Therapy Clinic/Center 261QP2000X 2487 NC

Addresses

Primary practice location

8918 Blakeney Professional Dr
Charlotte, NC 28277-6691

Mailing address

1429 Bryant St Ste a
Charlotte, NC 28208-5201
Phone (704) 919-0867

Other practice location 1

1001 Van Buren Ave Ste 3
Indian Trail, NC 28079-5541
Phone (704) 628-6053

Other practice location 2

170 Joe Knox Ave
Mooresville, NC 28117-9169
Phone (704) 360-2779

Other practice location 3

9405 Bryant Farms Rd
Charlotte, NC 28277-1642
Phone (980) 207-2707

Other practice location 4

18831 Statesville Rd
Cornelius, NC 28031-6755
Phone (704) 897-6145

Other practice location 5

1429 Bryant St Ste A
Charlotte, NC 28208-5201
Phone (704) 919-0867

Other practice location 6

8100 Old Mallard Creek Rd
Charlotte, NC 28262-2238
Phone (980) 299-2048

Other practice location 7

6509 W Wilkinson Blvd Ste 102B
Belmont, NC 28012-2891
Phone (980) 301-9996

Other practice location 8

4805 Park Rd Ste 105
Charlotte, NC 28209-3815
Phone (704) 919-1491

Other practice location 9

11010 Monroe Rd
Matthews, NC 28105-8517
Phone (704) 246-6989

Other practice location 10

11415 Golf Links Dr Ste 102
Charlotte, NC 28277-8229
Phone (980) 470-5551

Other practice location 11

13333 Dorman Rd
Pineville, NC 28134-9336
Phone (704) 716-1024

Other names 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000493 NC Part B Supplier - Clinic/Group Practice 5496819914 Receives reassigned benefits from 48 practitioners
1 other NPI on this enrollment
Practice locations: Matthews, NC; Pineville, NC; Mooresville, NC; Indian Trail, NC; Cornelius, NC; Concord, NC; Charlotte, NC; Belmont, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

6509 W Wilkinson Blvd
Ste 102B
Belmont, NC 28012
Phone (980) 301-9996

1429 Bryant St
Charlotte, NC 28208

8918 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 541-7761

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

18831 Statesville Rd
Cornelius, NC 28031
Phone (704) 293-3663

1001 Van Buren Ave
Indian Trail, NC 28079
Phone (704) 628-6053

11025 Monroe Rd
Matthews, NC 28105
Phone (704) 845-5150

857 Promenade Walk
Fort Mill, SC 29708
Phone (803) 547-1133

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.

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1780834697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 BRYANT ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085201",
            "telephone_number": "704-919-0867",
            "fax_number": "704-817-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 BLAKENEY PROFESSIONAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776691",
            "telephone_number": "704-900-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Van Buren Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280795541",
            "country_code": "US",
            "telephone_number": "704-628-6053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Joe Knox Ave",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179169",
            "country_code": "US",
            "telephone_number": "704-360-2779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9405 Bryant Farms Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282771642",
            "country_code": "US",
            "telephone_number": "980-207-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18831 Statesville Rd",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280316755",
            "country_code": "US",
            "telephone_number": "704-897-6145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 Bryant St Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282085201",
            "country_code": "US",
            "telephone_number": "704-919-0867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Old Mallard Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622238",
            "country_code": "US",
            "telephone_number": "980-299-2048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6509 W Wilkinson Blvd Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280122891",
            "country_code": "US",
            "telephone_number": "980-301-9996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 Park Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093815",
            "country_code": "US",
            "telephone_number": "704-919-1491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11010 Monroe Rd",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281058517",
            "country_code": "US",
            "telephone_number": "704-246-6989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11415 Golf Links Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282778229",
            "country_code": "US",
            "telephone_number": "980-470-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13333 Dorman Rd",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "NC",
            "postal_code": "281349336",
            "country_code": "US",
            "telephone_number": "704-716-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCHITECH SPORTS AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCHITECH SPORTS AND PHYSICAL THERAPY, LLC",
        "enumeration_date": "2008-09-27",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "IKOH",
        "authorized_official_first_name": "KAJA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "980-264-7838"
    },
    "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": "NC",
            "license": "2487",
            "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 16, 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.