Groundwork

Health care · County · North Carolina

Physical therapy clinics in Buncombe County, NC

Competitor counts, household spending and official business counts for physical therapy clinics in Buncombe County, NC, set against other counties and the U.S.

Groundwork market score · out of 100

Score 21 out of 100: Low

Ranked #1,340 of 1,422 scored counties
#60 of 61 scored counties in North Carolina

Listings
134
21 chain locations (16%)
Official establishments
76
+13.4% since 2019
Household spending a year
$115M
On medical and dental services · $1,129 a household
Spending per listing
$858K
64% below the U.S.
Listings per 10k households
13.2
2.4 times the U.S.
Population, 2025
277,417
+2.9% since 2020

See the physical therapy clinics around any address in Buncombe County

The site report maps the physical therapy clinics on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of Buncombe County. Signed out, you see a blurred preview; on an account, each report is one action.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

Buncombe County scores 21 (low) on the Groundwork market score for physical therapy clinics, ranking #1,340 of 1,422 scored counties and #60 of 61 scored counties in North Carolina. That puts it in the bottom quarter of counties.

As of September 2026, map listings count 134 physical therapy clinics in Buncombe County. Of those, 21 are chain locations, or 16%, against 23% across the U.S. That is 13.2 per 10,000 households, 2.4 times the U.S. rate of 5.4.

At $1,129 per household (12% below the U.S. average), households in Buncombe County spend about $115M a year on medical and dental services. That works out to $858K per clinic, 64% below the U.S. figure of $2.4M. That spending covers all medical and dental services, which physical therapy clinics share with other businesses in the trade.

In 2023, official counts showed 76 businesses with payroll in Buncombe County classed as physical, occupational and speech therapists, up 13.4% from 2019. That is one for every 1,340 households, against one for every 2,482 across the U.S. Since fiscal 2022, 1 SBA-backed loan worth $1.4M has gone to businesses classed as physical, occupational and speech therapists in Buncombe County. Between 2020 and 2025, the population of Buncombe County grew 2.9%, in step with the U.S. (+3.1%).

How Buncombe County compares

The same measures for North Carolina and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the physical therapy clinics counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Physical therapy in Buncombe County, NC compared with North Carolina and the U.S.
MeasureBuncombe CountyNorth CarolinaU.S.
Listings per 10k households13.25.25.4
Spending per listing$858K$2.1M$2.4M
Households per official establishment1,3403,0592,482
Official establishment growth, 2019–2023+13.4%+15.4%+23.1%
Population growth, 2020–2025+2.9%+7.2%+3.1%
Spending per household on medical and dental services$1,129$1,116$1,288
Median household income$74,436$72,388$80,734
Groundwork market score2160

Official counts and lending

Businesses

Official establishments, 2019 to 2023
67 → 76+13.4% over the period
Employees, 2023
3,024
Annual payroll, 2023
$127.4M
One-person businesses, 2023
Not publishedNot published for this business type
Map listings, September 2026
13421 chain locations
Listings at the U.S. rate for this spending
48The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
1
Amount
$1.4M

SBA-backed loans to businesses classed as physical, occupational and speech therapists in Buncombe County, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.

Population and households in Buncombe County

Population, 2025 estimate
277,417+2.9% since 2020
Households
101,855
Median age
43.4
Homes lived in by their owners
66%
Vehicles per household
1.9
Land area
657 sq. mi.
People per square mile
418
Median household income
$74,436+42.6% vs. 2015–2019, before inflation
Average household income
$105,560
Median home value
$391,800
Jobs located here
142,929
Daytime population
299,325Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Buncombe County?

These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the physical therapy clinics on map listings by name and distance.

Or open the report at the center of Buncombe County. Signed out, you see a blurred preview; on an account, each report is one action.

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Physical therapy across North Carolina

Every North Carolina market ranked →

The highest-scoring counties in North Carolina for physical therapy clinics, numbered among those based in North Carolina, with Buncombe County marked.

Top counties in North Carolina

Counties in North Carolina ranked for physical therapy clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Harnett County, NC82112.2$4.9M+12.3%#36 of 1,422
2Chatham County, NC81123.6$3.6M+11.0%#49 of 1,422
3Davidson County, NC80142.0$5.2M+6.6%#55 of 1,422
4Union County, NC79374.4$3M+11.7%#81 of 1,422
5Johnston County, NC76273.2$3.6M+17.9%#121 of 1,422
6Davie County, NC7452.9$3.9M+6.9%#149 of 1,422
7Stanly County, NC7262.4$4.3M+9.8%#182 of 1,422
8Wayne County, NC70142.9$3.4M+3.8%#221 of 1,422
9Rowan County, NC69193.2$3.2M+5.6%#245 of 1,422
10Catawba County, NC69243.6$2.9M+5.8%#248 of 1,422
60Buncombe County, NC2113413.2$858K+2.9%#1,340 of 1,422

Other business types in Buncombe County

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many physical therapy clinics are in Buncombe County, NC?

Buncombe County has 134 physical therapy clinics on map listings as of September 2026. 21 of them (16%) are chain locations. The listings count physical therapy and rehabilitation clinics. Official counts show 76 businesses with payroll classed as physical, occupational and speech therapists in 2023, up 13.4% from 2019.

How much do households in Buncombe County, NC spend on medical and dental services?

About $115M a year, or $1,129 per household. That is 12% below the U.S. average (an index of 88, where 100 is the U.S. average). Spread across the 134 physical therapy clinics on map listings, it comes to $858K per clinic. The spending figure covers all medical and dental services, not only physical therapy clinics. It is estimated from the incomes of the 101,855 households in Buncombe County and national spending patterns by income.

How does Buncombe County, NC compare with the U.S. for physical therapy clinics?

Buncombe County has 13.2 physical therapy clinics per 10,000 households, 2.4 times the U.S. rate of 5.4. Spending per clinic is $858K, 64% below the U.S. figure of $2.4M. At the national ratio of physical therapy clinics to household spending, Buncombe County would have about 48, against 134 on map listings. There is one business with payroll in the industry for every 1,340 households, against one for every 2,482 across the U.S. The official count rose 13.4% from 2019 to 2023, against +23.1% for the U.S.

How fast is Buncombe County, NC growing?

Population estimates put Buncombe County at 277,417 people in 2025, up 2.9% since 2020, in step with the U.S. (+3.1%). It has 101,855 households. The median household income in Buncombe County is $74,436 a year, 8% below the U.S. median of $80,734. That rose 42.6% from the 2015–2019 survey, before inflation.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Buncombe County scores 21 for physical therapy clinics (low), #1,340 of 1,422 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Buncombe County. It maps the physical therapy clinics on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

How the score works · Top markets for physical therapy clinics · All 56 business types in Buncombe County

Screening a site or an acquisition in Buncombe County?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

The button opens the report at the center of Buncombe County. Signed out, you see a blurred preview; on an account, each report is one action.

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.