Ethan Powell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1795 Devinney Rd
York, SC 29745-2155

Phone

(803) 335-0780

NPI assigned

Jan 22, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1982416558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 DEVINNEY RD",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297452155",
            "telephone_number": "803-335-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 DEVINNEY RD",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297452155",
            "telephone_number": "803-335-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ETHAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMC Physician Network, L.L.C.
• PMC Physician Network, L.L.C.
• PMC Physician Network, LLC
• Jacob Alexander Pope, DPT
• Deanna Pounder
• Kenya Powell
• Premier Clinics of York
• Priester Nichols Health Services, LLC
• Raynette Mashonda Priester
• Pruitthealth Therapy Services, Inc.

• Physical Therapy Assistant in York, SC
• Providers in York, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.