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

Mr. Ethan Stang, PT

Individual provider Physical Therapist · NPI 1245574599

Mr. Ethan Stang, PT is a Physical Therapist in Roanoke, Virginia. Practices as a sole proprietor. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4600 Brambleton Ave Ste B
Roanoke, VA 24018-3437
Phone: (540) 774-0729
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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 2305207746 (VA)
Physical Therapist Taxonomy 225100000X · Licence P14016 (NC)

Record details

NPI number1245574599
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 30, 2016
Mailing address4600 Brambleton Ave, Ste B, Roanoke, VA 24018-3437

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