Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ethan Stang, PT

Individual provider Physical Therapist · NPI 1245574599

Mr. Ethan Stang, PT is a Physical Therapist in Roanoke, Virginia. Practices as a sole proprietor. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4600 Brambleton Ave Ste B
Roanoke, VA 24018-3437
Phone: (540) 774-0729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305207746 (VA)
Physical Therapist Taxonomy 225100000X · Licence P14016 (NC)

Record details

NPI number1245574599
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 30, 2016

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