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

Revathi Lakkakula Liechty, DPT

Individual provider Physical Therapist · NPI 1336670702

Revathi Lakkakula Liechty, DPT is a Physical Therapist in Private Practice in Charlotte, North Carolina. Qualified in 2016, 10 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Oklahoma.

Years since qualifying
10
Licensed in
NC, OK
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2826 Randolph Rd Fl 2
Charlotte, NC 28211-1359
Phone: (704) 366-5521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2675 Court Dr, Gastonia, NC 28054-1478 — (704) 824-7800

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P18103 (NC)
Physical Therapist Taxonomy 225100000X · Licence 5275 (OK)

Record details

NPI number1336670702
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 22, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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