Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles O Gravatt, MSPT

Individual provider Physical Therapist · NPI 1437163748

Charles O Gravatt, MSPT is a Physical Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2004, 22 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment. Licensed in Michigan and North Carolina.

Years since qualifying
22
Licensed in
MI, NC
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-1508
Fax: (919) 350-1475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12846 (NC)
Physical Therapist Taxonomy 225100000X · Licence 5501012011 (MI)

Record details

NPI number1437163748
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJuly 29, 2006
Last updated in NPPESOctober 8, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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