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

Ethan Walker

Individual provider Physical Therapist · NPI 1609564236

Ethan Walker is a Physical Therapist in Private Practice in Fort Worth, Texas. Qualified in 2018, 8 years ago. Practices with Synergy Care Southeast LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

5755 Clearfork Main
Fort Worth, TX 76109
Phone: (940) 682-6805
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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 1309772 (TX)

Record details

NPI number1609564236
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateApril 20, 2023
Mailing address4200 Mountain Meadow Rd, Crowley, TX 76036-8554

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Synergy Care Southeast Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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