Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETHAN OSBORNE PHYSICAL THERAPY PC
NPI 1104721257
Physical Therapist in Villa Park, CA

Active since October 09, 2026
17871 SANTIAGO BLVD STE 205, VILLA PARK, CA 92861(714) 464-7698 Get Directions Write a Review

NPPES record added: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Ethan Osborne Physical Therapy Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN OSBORNE PHYSICAL THERAPY PC (NPI 1104721257) is a healthcare organization registered as a physical therapist in Villa Park, California and active in the NPI registry since October 2026. The organization lists Ethan Gregory Osborne, Owner, as its authorized official.

NPPES Registry Identity

NPI1104721257
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameETHAN OSBORNE PHYSICAL THERAPY PC
Location Address17871 SANTIAGO BLVD STE 205Villa Park, CA 92861-4119
Mailing Address6601 Vista LomaYorba Linda, CA 92886-6454
Organization SubpartNo
Authorized OfficialEthan Gregory OsborneOwner · (949) 278-1640
Enumeration DateOctober 9, 2026
NPPES CertifiedOctober 9, 2026
✔ NPI 1104721257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
17871 SANTIAGO BLVD STE 205, Villa Park, CA 92861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Osborne Physical Therapy PC's NPI number?

The NPI number for Ethan Osborne Physical Therapy PC is 1104721257. It was assigned to this organization in the NPPES registry on October 9, 2026.

Where is Ethan Osborne Physical Therapy PC located?

Ethan Osborne Physical Therapy PC is located at 17871 Santiago Blvd Ste 205, Villa Park, CA 92861. The listed phone number is (714) 464-7698.

What is Ethan Osborne Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Ethan Osborne Physical Therapy PC was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.