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

Individual provider Physical Therapy Assistant · NPI 1740018019

Ethan O'Hearn, PTA is a Physical Therapy Assistant in Valrico, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1586 Bloomingdale Ave
Valrico, FL 33596-6101
Phone: (813) 978-9700
Fax: (813) 558-6001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 — (813) 978-9700

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA29120 (FL)

Record details

NPI number1740018019
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 26, 2024
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024
Mailing address13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915

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