MEDICARE: MAITRI PARESHKUMAR DAVE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P24517	NC

General Provider Information

NPI Number	:	1174487540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAITRI PARESHKUMAR DAVE PT

Provider Business Mailing Address
First Line	:	185 LONGLEAF DR
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-9551
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6437 OLD MONROE RD STE E
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5415
Country	:	US
Telephone Number	:	704-686-7767
Fax Number	:	704-686-7732

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	03/09/2026

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Directions to “ MAITRI PARESHKUMAR DAVE PT” Practice Location

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