Active NPI
Ethan Vorkink
- Physical Therapy Assistant
- Statesville, NC
National Provider Identifier
1912811548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 1531 Cinema Dr Ste C
Statesville, NC 28625-5403 - Phone
- (704) 746-0022
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | NU | Primary |
Addresses
Primary practice location
1531 Cinema Dr Ste C
Statesville, NC 28625-5403
Mailing address
745 Boundary St Apt 1210
Newton, NC 28658-9567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1912811548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 BOUNDARY ST APT 1210",
"city": "NEWTON",
"state": "NC",
"postal_code": "286589567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 CINEMA DR STE C",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286255403",
"telephone_number": "704-746-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORKINK",
"first_name": "ETHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.