Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Lee Ethridge, PTA

Individual provider Physical Therapy Assistant · NPI 1184770711

Brian Lee Ethridge, PTA is a Physical Therapy Assistant in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

333 W Main St
Madison, WI 53703-2777
Phone: (608) 283-2123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 794-019 (WI)

Record details

NPI number1184770711
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 26, 2007
Last updated in NPPESFebruary 5, 2014
Mailing address7704 Westchester Dr, Middleton, WI 53562-3600

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