ETHAN PASTER (DPT) – Sports Physical Therapist, NPI 1124494737

ETHAN PASTER (DPT) is a healthcare provider. based in Tucson, Arizona. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 0013539 (CO). The NPI Number for ETHAN PASTER (DPT) is 1124494737

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN PASTER (DPT)
NPI
1124494737
Phone
(703) 254-3574
Address
2552 E HALCYON RD
Enumeration Date
18 August 2015
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203254002
Graduation Year
2015 (11 years ago)
PAC ID
5092023838
Group Practice PAC ID
2466348701
Professional Enrollment ID
I20150929000957
Address ID
AZ857136269TU1991XWAYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for ETHAN PASTER (DPT)

  • 2552 E HALCYON RD

    TUCSON, AZ 857161114

    Phone: (703) 254-3574

    Type: Mailing

  • 3124 N SWAN RD

    TUCSON, AZ 857121227

    Phone: (520) 325-4002

    Type: Location

  • 6521 W SUGAR PINE TRL

    TUCSON, AZ 857437124

    Phone: (703) 254-3574

    Type: Mailing

  • 3601 W CORTARO FARMS RD

    TUCSON, AZ 857428645

    Phone: (520) 325-4002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150929000957IPhysical Therapist In Private PracticeAZTBD
I20260115003043IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities38536$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33238$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11338$0
97140Therapy procedure using manual technique, each 15 minutes9826$0
97161Evaluation for physical therapy, typically 20 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 85716)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466348701View full group profile
NameSpecialtyState
-OR
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
-AZ
Physical Therapist In Private PracticeCA
-CO
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

What is the registry number for ETHAN PASTER (DPT)?
The registry entry for ETHAN PASTER (DPT) shows NPI 1124494737.
Should I treat ETHAN PASTER (DPT) as an active provider?
Patients and plans typically see ETHAN PASTER (DPT) as active in the national extract.
What does the directory say ETHAN PASTER (DPT) does?
Insurance directories may phrase it differently, but here ETHAN PASTER (DPT) maps to Sports Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ETHAN PASTER (DPT) tied to Tucson, Arizona?
If you are local to Tucson, Arizona, ETHAN PASTER (DPT) may be relevant to your search.
Can I export ETHAN PASTER (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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