| Mr Ethan Daniel Pierson, PT | |
| 710 Park Center Dr Ste 200, Matthews, NC 28105-5082 | |
| (704) 323-3208 | |
| Not Available | 
| Full Name | Mr Ethan Daniel Pierson | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 710 Park Center Dr Ste 200, Matthews, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528788817 | NPI | - | NPPES | 
| 0397730030 | Other | NC | NSC# | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | P21599 (North Carolina) | Primary | 
| Provider Name | Orthocarolina Pa | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1497704217 PECOS PAC ID: 2062316821 Enrollment ID: O20031122000126 | 
| Provider Name | Duke University Health System, Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 | 
| Provider Name | North Carolina Luna Care Physical Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1124626148 PECOS PAC ID: 8921418757 Enrollment ID: O20210119001592 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Ethan Daniel Pierson, PT 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 Ph: (704) 323-3611 | Mr Ethan Daniel Pierson, PT 710 Park Center Dr Ste 200, Matthews, NC 28105-5082 Ph: (704) 323-3208 | 
| Alexis Nottage, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13655 Providence Rd, Matthews, NC 28104 Phone: 704-246-7050 | |
| Dr. Brandi Singleton, PT, DPT, CCI Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Royal Commons Ln, Matthews, NC 28105 Phone: 704-849-6990 | |
| Jeanine Renee Russman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Matthews Township Pkwy, Suite 120, Matthews, NC 28105 Phone: 704-323-3208 Fax: 704-323-3911 | |
| Fox Rehab Pt Nc Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2008 Moore Rd, Matthews, NC 28105 Phone: 877-407-3422 Fax: 877-407-4329 | |
| Mrs. Kathy Wright Wallace, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1352 Matthews Township Parkway, Unit 102, Matthews, NC 28105 Phone: 704-847-6351 Fax: 704-849-2826 | |
| Shaun M Riney, PHYSICAL THERAPY Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1205 Mann Dr, Matthews, NC 28105 Phone: 704-323-3278 | |
| Mr. Christopher Cyril Gabriel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1205 Mann Dr, Matthews, NC 28105 Phone: 704-323-3278 |