DR. ARLIE ALEXANDER ETHERTON DPT, SCS
NPI 1649962754
Physical Therapist - Sports in Simpsonville, SC

Active since May 25, 2023
404 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680(864) 214-0430 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Arlie Alexander Etherton Dpt, Scs NPPES

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

DR. ARLIE ALEXANDER ETHERTON DPT, SCS (NPI 1649962754) is an individual sports provider in Simpsonville, South Carolina, licensed in South Carolina (12767) and active in the NPI registry since May 2023. He maintains a secondary practice location in Gardendale.

NPPES Registry Identity

NPI1649962754
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameDR. ARLIE ALEXANDER ETHERTONCredential: DPT, SCS
Location Address404 HARRISON BRIDGE RDSimpsonville, SC 29680-7606
Mailing Address404 Harrison Bridge RdSimpsonville, SC 29680-7606 · (864) 214-0430
Sole ProprietorNo
Enumeration DateMay 25, 2023
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1649962754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License Licensed in SC · 12767
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

404 HARRISON BRIDGE RD, Simpsonville, SC 29680

Secondary Practice Location 1

Location 12244 North Rd Ste 104Gardendale, AL 35071-2235 · Phone (205) 418-1080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649962754, enumerated as an "individual" on May 25, 2023.

The provider is located at 404 HARRISON BRIDGE RD SIMPSONVILLE, SC 29680 and the phone number is (864) 214-0430.

Physical Therapist with taxonomy code 2251S0007X and a focus in Sports.