ETHAN MIX DPT
NPI 1295108090
Physical Therapist in Charlotte, NC

Active since November 03, 2015
445 S KINGS DR, CHARLOTTE, NC 28204(704) 384-1737 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2021, Dec 24, 2020, Oct 29, 2020 (3 updates tracked since 2020).

About Ethan Mix Dpt NPPES

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

ETHAN MIX DPT (NPI 1295108090) is an individual physical therapist in Charlotte, North Carolina, licensed in North Carolina (P17497) and active in the NPI registry since November 2015. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295108090
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN MIXCredential: DPT
Location Address445 S KINGS DRCharlotte, NC 28204-3041
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 510-8000 · Fax (704) 510-8006
Sole ProprietorNo
Enumeration DateNovember 3, 2015
Last NPPES UpdateFebruary 24, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
NPI 1295108090 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
Licenses Licensed in NC · P17497 Licensed in NY · 039525-1
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.
445 S KINGS DR, Charlotte, NC 28204

Secondary Practice Locations 2

Location 192 West AveBrockport, NY 14420-1306 · Phone (585) 637-0790 · Fax (585) 637-3572
Location 210810 Mallard Creek RdCharlotte, NC 28262-9786 · Phone (704) 510-8000 · Fax (704) 510-8006

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
445 S KINGS DR
CHARLOTTE, NC 28204
Family Medicine
445 S KINGS DR
CHARLOTTE, NC 28204
Physician Assistant
445 S KINGS DR
CHARLOTTE, NC 28204
Physician Assistant
445 S KINGS DR
CHARLOTTE, NC 28204
Physician Assistant
445 S KINGS DR
CHARLOTTE, NC 28204
Physician Assistant
445 S KINGS DR
CHARLOTTE, NC 28204
Physical Therapist
445 S KINGS DR
CHARLOTTE, NC 28204
Physical Therapist
445 S KINGS DR
CHARLOTTE, NC 28204

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 Mix's NPI number?

The NPI number for Ethan Mix is 1295108090. It was assigned to this individual provider in the NPPES registry on November 3, 2015.

Where is Ethan Mix located?

Ethan Mix practices at 445 S Kings Dr, Charlotte, NC 28204. The listed phone number is (704) 384-1737.

What is Ethan Mix'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 Mix was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.