Ethan Mix, DPT
NPI 1295108090 · Physical Therapist · Charlotte, NC
Ethan Mix, DPT is a Physical Therapist provider in Charlotte, NC (NPI 1295108090).
Provider details
- NPI number
- 1295108090
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 039525-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 10810 Mallard Creek RdCharlotte, NC 28262-9786Phone: (704) 510-8000Fax: (704) 510-8006
- 92 West AveBrockport, NY 14420-1306Phone: (585) 637-0790Fax: (585) 637-3572
Registry dates
- Enumerated
- 2015-11-03
- Last updated
- 2021-02-24
- Certified
- 2021-02-24
Frequently asked questions
- What is Ethan Mix's NPI number?
- Ethan Mix's National Provider Identifier (NPI) is 1295108090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Mix's specialty?
- Ethan Mix is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ethan Mix located?
- Ethan Mix's practice location on file with NPPES is 445 S Kings Dr, Charlotte, NC 28204-3041.
- What is Ethan Mix's phone number?
- The practice phone number listed in the NPPES registry for Ethan Mix is (704) 384-1737.
- Is Ethan Mix's NPI active?
- Yes — Ethan Mix's NPI (1295108090) is active in the NPPES registry as of the last update on 2021-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.