Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Vande Wall, PT, DPT

Individual provider Physical Therapist · NPI 1164023214

Kaitlyn Vande Wall, PT, DPT is a Physical Therapist in Charlotte, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2230 Park Rd Ste 104
Charlotte, NC 28203-6664
Phone: (704) 919-1280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1164023214
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021

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