Ethan Sowell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8636 Issued in SC

Practice address

120 Mutual Dr
Anderson, SC 29621-1767

Phone

(864) 261-3313

Fax

(864) 261-3371

NPI assigned

Jul 17, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upstate Physical Therapy

  • Physical Therapist
  • Anderson, SC
  • NPI 1568410751
  NPD
• Upstate Rehab Services

  • Rehabilitation Clinic/Center
  • Anderson, SC
  • NPI 1144815077
  NPD

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700309259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MUTUAL DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211767",
            "telephone_number": "864-261-3313",
            "fax_number": "864-261-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MUTUAL DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211767",
            "telephone_number": "864-261-3313",
            "fax_number": "864-261-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWELL",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR, LICENSING AND REGULATION",
            "identifier": "8636",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc.
• Southern Pediatric Dentistry P.a.
• Rodney George Southern, D.M.D.
• Southwest Carolina Treatment Center, LLC
• June Petryszn Souviron, M.D.
• Jondrea Speaks
• Ashley Nicole Spears, MD
• Zoza Grace Spears, MD
• Pamela Specht, LPCI
• Waverly Speegle

• Physical Therapist in Anderson, SC
• Providers in Anderson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.