ETHAN A DAVIS (DPT) – Orthopedic Physical Therapist, NPI 1295393932

ETHAN A DAVIS (DPT) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for ETHAN A DAVIS (DPT) is 1295393932

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN A DAVIS (DPT)
NPI
1295393932
Phone
(407) 575-9964
Address
3138 BUCK HILL PL
Enumeration Date
29 May 2019
Last Update Date
29 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076710433
Graduation Year
2019 (7 years ago)
PAC ID
9335516343
Group Practice PAC ID
5395792832
Professional Enrollment ID
I20221104000195
Address ID
FL327515926MA405XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ETHAN A DAVIS (DPT)

  • 3138 BUCK HILL PL

    ORLANDO, FL 328175864

    Phone: (407) 575-9964

    Type: Mailing

  • 3451 TECHNOLOGICAL AVE STE 1

    ORLANDO, FL 328178353

    Phone: (407) 681-2520

    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: 2022-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20221104000195IPhysical Therapist In Private PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32817)

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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: 5395792832View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-OR
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL

Reviews

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Frequently asked questions

What NPI should I save for ETHAN A DAVIS (DPT)?
Save NPI 1295393932 if you need a stable reference for ETHAN A DAVIS (DPT).
Is ETHAN A DAVIS (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ETHAN A DAVIS (DPT) treat or focus on?
Patients typically see ETHAN A DAVIS (DPT) under the specialty Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is ETHAN A DAVIS (DPT)'s primary listing?
We display Orlando, Florida because that is what the record indicates for ETHAN A DAVIS (DPT).
How can I contact ETHAN A DAVIS (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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