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

Ethan Gabriel Brown, PTA

Individual provider Physical Therapy Assistant · NPI 1710676812

Ethan Gabriel Brown, PTA is a Physical Therapy Assistant in Waxhaw, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

105 Waxhaw Professional Park Dr Ste B
Waxhaw, NC 28173-5018
Phone: (704) 459-4013
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A8052 (NC)

Record details

NPI number1710676812
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 4, 2023
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

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