Individual provider Active NPI

Kayla Gravelle

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1811382856
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20201 Issued in NC
Practice address
9216 Ardrey Kell Rd Ste 300
Charlotte, NC 28277-4954
Phone
(980) 556-7330
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P20201 NC Primary

Addresses

Primary practice location

9216 Ardrey Kell Rd Ste 300
Charlotte, NC 28277-4954

Mailing address

1431 Haverford Rd NW
Concord, NC 28027-3572
Phone (906) 236-5575

Other practice location 1

9200 Harris Corners Pkwy
Charlotte, NC 28269-3717
Phone (704) 342-9011

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210420000639 NC Practitioner - Physical Therapist in Private Practice 6901214550 Reassigns benefits to 2 organizations
I20220215002027 SC Practitioner - Physical Therapist in Private Practice 6901214550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

9216 Ardrey Kell Rd
Suite 300
Charlotte, NC 28277-4954
Phone (980) 556-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P20201NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Benchmark Health Services, LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Apr 17, 2023 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist Current Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10012 Benfield Rd
Ste 305
Charlotte, NC 28269
Phone (704) 274-9133

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

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

131 Evergreen Rd
Ste 105
Clover, SC 29710
Phone (803) 810-6012

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1811382856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 HAVERFORD RD NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273572",
            "telephone_number": "906-236-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 ARDREY KELL RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774954",
            "telephone_number": "980-556-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Harris Corners Pkwy",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282693717",
            "country_code": "US",
            "telephone_number": "704-342-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVELLE",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20201",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2023; 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.