ETHAN KILDUFF PT, DPT
NPI 1376485094
Physical Therapist in Goodyear, AZ

Active since April 09, 2026
14545 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395(623) 335-3736 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Kilduff Pt, Dpt NPPES

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

ETHAN KILDUFF PT, DPT (NPI 1376485094) is an individual physical therapist in Goodyear, Arizona, licensed in Arizona (LPT-034683) and active in the NPI registry since April 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1376485094
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN KILDUFFCredential: PT, DPT
Location Address14545 W INDIAN SCHOOL RDGoodyear, AZ 85395-9243
Mailing Address14545 W Indian School RdGoodyear, AZ 85395-9243
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
NPI 1376485094 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
License Licensed in AZ · LPT-034683
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.
14545 W INDIAN SCHOOL RD, Goodyear, AZ 85395

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan Kilduff Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052882693
PECOS Enrollment IDI20260604003322

Other Providers at the Same Location NPPES 5

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

Physical Therapist
14545 W INDIAN SCHOOL RD
GOODYEAR, AZ 85395
Occupational Therapist
14545 W INDIAN SCHOOL RD
GOODYEAR, AZ 85395
Physical Therapist
14545 W INDIAN SCHOOL RD
GOODYEAR, AZ 85395
Physical Therapist
14545 W INDIAN SCHOOL RD
GOODYEAR, AZ 85395
Physical Therapist
14545 W INDIAN SCHOOL RD
GOODYEAR, AZ 85395

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 Kilduff's NPI number?

The NPI number for Ethan Kilduff is 1376485094. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Ethan Kilduff located?

Ethan Kilduff practices at 14545 W Indian School Rd, Goodyear, AZ 85395. The listed phone number is (623) 335-3736.

What is Ethan Kilduff's specialty?

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

Is Ethan Kilduff enrolled in Medicare?

Yes. Ethan Kilduff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Kilduff was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.