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

Ethan Gilliam, PT

Individual provider Physical Therapist · NPI 1548119464

Ethan Gilliam, PT is a Physical Therapist in Arlington, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone: (817) 960-6567
Fax: (817) 960-6566
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1125565 (TX)

Record details

NPI number1548119464
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 23, 2026
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address800 W Randol Mill Rd, Arlington, TX 76012-2504

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