Organization Active NPI

Carolina Orthopedic Rehab LLC

  • Physical Therapist
  • Hendersonville, NC
National Provider Identifier
1336335595
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5037 Issued in NC
Legal business name
CAROLINA ORTHOPEDIC REHAB LLC
Practice address
110 Chadwick Square CT Ste B
Hendersonville, NC 28739-3238
Phone
(828) 698-4818
Fax
(828) 698-4819
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth M Ellsworth, PTNPI 1033309307
Title
Managing Owner
Phone
(828) 698-4818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5037 NC Primary

Addresses

Primary practice location

110 Chadwick Square CT Ste B
Hendersonville, NC 28739-3238

Mailing address

110 Chadwick Square CT Ste B
Hendersonville, NC 28739-3238
Phone (828) 698-4818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080204000735 NC Part B Supplier - Clinic/Group Practice 1456441757 Receives reassigned benefits from 2 practitioners
Practice locations: Hendersonville, NC

National Provider Directory

National Provider Directory

Locations

1620 Brevard Rd
Unit 40
Hendersonville, NC 28791
Phone (828) 698-4818

110 Chadwick Square Ct
Ste B
Hendersonvlle, NC 28739
Phone (828) 698-4818

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1336335595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHADWICK SQUARE CT STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393238",
            "telephone_number": "828-698-4818",
            "fax_number": "828-698-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHADWICK SQUARE CT STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393238",
            "telephone_number": "828-698-4818",
            "fax_number": "828-698-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORTHOPEDIC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "828-698-4818",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "5037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.