Individual provider Active NPI

Ethan Triplett, PT, DPT

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1366326217
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42680 Issued in FL
Practice address
17313 Pagonia Rd BLDG N
Clermont, FL 34711-5940
Phone
(352) 394-2862
Fax
(352) 394-2861
NPI assigned
Aug 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42680 FL Primary

Addresses

Primary practice location

17313 Pagonia Rd BLDG N
Clermont, FL 34711-5940

Mailing address

17313 Pagonia Rd BLDG N
Clermont, FL 34711-5940
Phone (352) 394-2862

Other practice location 1

76 Underwood St Ste 110
Orlando, FL 32806-1110
Phone (321) 843-7729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202000078 FL Practitioner - Physical Therapist in Private Practice 1456844208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

76 W Underwood St
Suite 100
Orlando, FL 32806-1110
Phone (321) 841-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42680FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

76 Underwood St
Ste 100
Orlando, FL 32806
Phone (321) 841-1570

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

76 Underwood St
Ste 110
Orlando, FL 32806
Phone (321) 843-7729

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1366326217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17313 PAGONIA RD BLDG N",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115940",
            "telephone_number": "352-394-2862",
            "fax_number": "352-394-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17313 PAGONIA RD BLDG N",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115940",
            "telephone_number": "352-394-2862",
            "fax_number": "352-394-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Underwood St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-843-7729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPLETT",
        "first_name": "ETHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.