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

Ethan Samuel Pollack, DPT, PT

Individual provider Physical Therapist · NPI 1477438240

Ethan Samuel Pollack, DPT, PT is a Physical Therapist in Private Practice in Trumbull, Connecticut. Qualified in 2025, 1 year ago. Practices with Elevate Holding Company, LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
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.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6540 Main St Ste 5
Trumbull, CT 06611-1364
Phone: (203) 816-0100
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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 14.015071 (CT)

Record details

NPI number1477438240
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedAugust 9, 2025
Last updated in NPPESAugust 9, 2025
Certification dateAugust 9, 2025
Mailing address50 Camore St, Stamford, CT 06905-3505

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 Elevate Holding Company, Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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