Ethan Paster, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

0013539 Issued in CO

Practice address

3601 W Cortaro Farms Rd
Tucson, AZ 85742-8645

Phone

(520) 325-4002

NPI assigned

Aug 18, 2015

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 AZ, AL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ew Motion Therapy Meadowbrook LLCGroup PAC ID 3678966553, 8 clinicians

Bodycentral Physical Therapy PCGroup PAC ID 2466348701, 43 clinicians

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.

• Ew Motion Therapy Meadowbrook LLC

  • Physical Therapist
  • Hoover, AL
  • NPI 1407512114
  Medicare reassignment Care Compare group NPD
• Bodycentral Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1629057930
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1124494737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 W SUGAR PINE TRL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437124",
            "telephone_number": "703-254-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W CORTARO FARMS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428645",
            "telephone_number": "520-325-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTER",
        "first_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "0013539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pascua Yaqui Tribe
• Pascua Yaqui Tribe
• Pascua Yaqui Tribe
• Margo Linda Harrison Passarella, LCSW
• Marc Passmann, L.AC.
• Irasema Concepcion Paster, DO
• Daniel Pastor, LPC
• Asad Patanwala, PHARM.D.
• Sam Pate, DO
• Patel Physiatry, PLLC

• Sports Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Sports Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.