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

Ethan Chang

Individual provider Physical Therapist · NPI 1952286601

Ethan Chang is a Physical Therapist in Private Practice in Brandon, Florida. Qualified in 2025, 1 year ago. Practices with Ohi West Medical Group LLC, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

611 W Lumsden Rd
Brandon, FL 33511-5911
Phone: (813) 413-5513
Fax: (844) 757-3726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 611 W Lumsden Rd, Brandon, FL 33511-5911 — (813) 413-5513

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT43453 (FL)

Record details

NPI number1952286601
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address611 W Lumsden Rd, Brandon, FL 33511-5911

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ohi West Medical Group Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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