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

Individual provider Physical Therapist · NPI 1841186541

Ethan Mychajlonka is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 2025, 1 year ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group and accepts Medicare assignment. Licensed in Arizona.

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

18561 N 59th Ave
Glendale, AZ 85308-1256
Phone: (602) 313-4089
Fax: (623) 322-0664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (AZ)

Record details

NPI number1841186541
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

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 Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale