ETHAN WALSH DPT
NPI 1407707169
Physical Therapist in Coolidge, AZ

Active since February 06, 2026Accepts Medicare Assignment
403 W CENTRAL AVE, COOLIDGE, AZ 85128(973) 513-5982 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ethan Walsh Dpt NPPES

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

ETHAN WALSH DPT (NPI 1407707169) is an individual physical therapist in Coolidge, Arizona, licensed in Arizona (LPT-034618) and active in the NPI registry since February 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1407707169
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN WALSHCredential: DPT
Location Address403 W CENTRAL AVECoolidge, AZ 85128-4708
Mailing Address15380 W Fillmore St Apt 3051Goodyear, AZ 85338-4680 · (520) 424-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1407707169 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-034618
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.
403 W CENTRAL AVE, Coolidge, AZ 85128

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Walsh Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133697105
PECOS Enrollment IDI20260507002746

Medicare Billing Reassignments

2

Medicare enrollment records show Ethan Walsh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
950 E RIGGS RD, STE 1
Chandler, AZ 85249
  • Reassigned Medicare billing, Arizona enrollment
  • 60 clinicians in this Medicare group
Physical Therapist
24014 W RENWICK RD UNIT 206
Plainfield, IL 60544
  • Reassigned Medicare billing, Arizona enrollment
  • 44 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Physical Therapist
403 W CENTRAL AVE
COOLIDGE, AZ 85128

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 Walsh's NPI number?

The NPI number for Ethan Walsh is 1407707169. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Ethan Walsh located?

Ethan Walsh practices at 403 W Central Ave, Coolidge, AZ 85128. The listed phone number is (973) 513-5982.

What is Ethan Walsh's specialty?

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

Is Ethan Walsh enrolled in Medicare?

Yes. Ethan Walsh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ethan Walsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Walsh reassigns Medicare benefits to 2 organizations: Kinect Physical Therapy, PLLC (Chandler, AZ) and Dpt Holdings, LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Walsh accept?

Health plans from Oscar Health Plan, Inc. list Ethan Walsh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Walsh was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.