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

Ethan Daniel Gallagher

Individual provider Pediatric Physical Therapist · NPI 1588403091

Ethan Daniel Gallagher is a Physical Therapist in Private Practice in Exton, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Premier Orthopaedic and Sports Medicine Associates, Ltd, a 219-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

119 E Uwchlan Ave Ste 201
Exton, PA 19341-1293
Phone: (610) 557-8182
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 451 W Ridge Pike Ste 479, Limerick, PA 19468-1415 — (484) 369-8953

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT032515 (PA)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence TPT023830 (PA)

Record details

NPI number1588403091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2024
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing addressPo Box 34990, Belfast, ME 04915-0627

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Orthopaedic And Sports Medicine Associates, Ltd — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Exton