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

Ethan Vosburgh, DPT

Individual provider Physical Therapist · NPI 1760153506

Ethan Vosburgh, DPT is a Physical Therapist in Private Practice in Keizer, Oregon. Qualified in 2021, 5 years ago. Practices with Benchmark Physical Therapy of Oregon LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
Specialties on file
2
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

117 McNary Estates Dr N
Keizer, OR 97303-7459
Phone: (503) 400-7717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 12296564-2401 (UT)

Record details

NPI number1760153506
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 22, 2021
Certification dateJuly 23, 2021
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Benchmark Physical Therapy Of Oregon Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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