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

Ethan Michael Ryan Rafferty, DPT

Individual provider Physical Therapist · NPI 1962394478

Ethan Michael Ryan Rafferty, DPT is a Physical Therapist in Coppell, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

413 W Bethel Rd Ste 400
Coppell, TX 75019-4477
Phone: (972) 304-9100
Fax: (972) 304-9048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1962394478
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 18, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing addressPo Box 2650, Coppell, TX 75019-8607

Other providers in Coppell