Individual provider Active NPI

Ellen Corriher Benfield

  • Physical Therapist
  • Shelby, NC
National Provider Identifier
1174852669
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2698 Issued in NC
Practice address
807 Schenck St
Suite 2
Shelby, NC 28150-5122
Phone
(704) 482-7311
Fax
(704) 487-0339
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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 2698 NC Primary

Addresses

Primary practice location

807 Schenck St
Suite 2
Shelby, NC 28150-5122

Mailing address

807 Schenck St
Suite 2
Shelby, NC 28150-5122
Phone (704) 482-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000757 NC Practitioner - Physical Therapist in Private Practice 9436284833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
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)

1129 E Marion St
Shelby, NC 28150-4843
Phone (704) 471-0001

435 N Generals Blvd
Lincolnton, NC 28092-3559
Phone (980) 399-4440

836 E King St
Kings Mountain, NC 28086-3187
Phone (704) 739-5995

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
2698NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC CurrentSince Dec 7, 2020 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Dec 7, 2020 Accepting new patients

Locations

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

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

189 W Main St
Forest City, NC 28043
Phone (828) 417-0090

1129 E Marion St
Shelby, NC 28150
Phone (704) 471-0001

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 2

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": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1174852669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SCHENCK ST",
            "address_2": "SUITE 2",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505122",
            "telephone_number": "704-482-7311",
            "fax_number": "704-487-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SCHENCK ST",
            "address_2": "SUITE 2",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505122",
            "telephone_number": "704-482-7311",
            "fax_number": "704-487-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENFIELD",
        "first_name": "ELLEN",
        "middle_name": "CORRIHER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.