Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN BALOGH, DPT
Active Sole ProprietorETHAN BALOGH, DPT is a Physical Therapy Assistant healthcare provider located in INDEPENDENCE, Missouri. NPI 1932064862 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · INDEPENDENCE, MO
Registration Details
- NPI Number
- 1932064862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2025 (0.45685527413499 yrs)
- Last Updated
- Feb 12, 2026
- License
-
2026006907 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3509 S NOLAND RDINDEPENDENCE, MO, 640553339Browse MO providers · Browse ZIP 64055
- Phone
- 8163132220
- Fax
- 8168972390
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in INDEPENDENCE, MO
| Name | Credential | NPI |
|---|---|---|
| MR. BEN PETERSON | MSPT | 1144207044 |
| COREY JACOB FORE | P.T. | 1659359214 |
| BRIAN DOUGLAS STEWART | MS, PT, CSCS | 1508844259 |
| MICAH JB HUNT | PT, MPT | 1992748925 |
| MR. RANDY WESTFALL | PT, MTC | 1841234572 |
| MONICA A CASS | — | 1700994951 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.