Ethan Osborne Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ETHAN OSBORNE PHYSICAL THERAPY PC

Practice address

17871 Santiago Blvd Ste 205
Villa Park, CA 92861-4119

Phone

(714) 464-7698

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ethan Gregory Osborne, DPT

Title

Owner

Phone

(949) 278-1640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1104721257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 VISTA LOMA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17871 SANTIAGO BLVD STE 205",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614119",
            "telephone_number": "714-464-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN OSBORNE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-278-1640",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Danh
• Arnold Philip Deutsch, M.D.
• Steven Downs, OD
• Harry Eisenbach
• Jennifer Emter
• Kenneth John Fischer, DDS
• Kristen Michele Fuller, M.D.
• James Patrick Furcolow, O.D.
• Kathleen Emilie Gallaher, M.D.
• Kathryn A. Gibbs, M.D.

• Physical Therapist in Villa Park, CA
• Providers in Villa Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.