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

Ethan Walsh, DPT

Individual provider Physical Therapist · NPI 1407707169

Ethan Walsh, DPT is a Physical Therapist in Private Practice in Coolidge, Arizona. Qualified in 2025, 1 year ago. Practices with Kinect Physical Therapy PLLC, a 45-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

403 W Central Ave
Coolidge, AZ 85128-4708
Phone: (973) 513-5982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-034618 (AZ)

Record details

NPI number1407707169
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 6, 2026
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address15380 W Fillmore St Apt 3051, Goodyear, AZ 85338-4680

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 Kinect Physical Therapy Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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