IndividualActive
Ethan Groff, DPT
NPI 1346901261 · Pediatric Physical Therapist · Phoenix, AZ
Provider details
- NPI number
- 1346901261
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- LPT32166 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2302 N 15th Ave
Phoenix, AZ 85007-1201
Phone: (520) 343-1747
Approximate (ZIP-level) locationGet directions
Mailing address
13820 S 44th St Apt 1290
Phoenix, AZ 85044-4867
Registry dates
- Enumerated
- 2022-01-03
- Last updated
- 2022-01-03
- Certified
- 2022-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.