Ethanlouie Cabrillos Bandales, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1407443 Issued in TX

Practice address

450 Park Grove Dr
Katy, TX 77450-1571

Phone

(281) 435-5732

NPI assigned

Jan 22, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 1St Classen Physical Therapy , PLLC

  • Physical Therapy Clinic/Center
  • Katy, TX
  • NPI 1982201844

  Physical Therapist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1023967247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 DREAM ROSE TRL",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935620",
            "telephone_number": "973-767-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501571",
            "telephone_number": "281-435-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDALES",
        "first_name": "ETHANLOUIE",
        "middle_name": "CABRILLOS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Adam Balin, D.C.
• Kelly Ballentine, D.O.
• Corinthia Ballot
• Joann Tejumola Baly, LCSW
• Mojolaoluwa Eniola Bamise, BCBA
• Stacey Bankay
• Deonte Banks
• Thelma Banks
• Kendall Dshea Bannowsky
• Darline Banos

• Physical Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.