Active NPIIndividual provider

Ethan S Pollack, DPT, PT

Physical Therapist in Trumbull, Connecticut

NPI Number1477438240
Practice location
6540 Main St Ste 5, Trumbull, CT 06611-1364
Fax
—
Last updated
August 9, 2025

Ethan Samuel Pollack is a Physical Therapist based in Trumbull, CT. Ethan Samuel Pollack practices in Trumbull, CT and has the professional credentials of DPT, PT. The NPI Number for Ethan Samuel Pollack is 1477438240 and holds a License No. 14.015071 (CT). The current practice location address for Ethan Samuel Pollack is 6540 Main St Ste 5, Trumbull, CT 06611-1364 and can be reached out via phone at 203-816-0100.

Provider Profile Details

NPI Number
1477438240
Provider Name
Ethan Samuel Pollack
Credential
DPT, PT
Provider Entity Type
Individual
Gender
Male
Address
6540 Main St Ste 5, Trumbull, CT 06611-1364
Phone Number
203-816-0100
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2025
Last Update Date
August 9, 2025
Certification Date
August 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
6540 Main St Ste 5
Trumbull, CT 06611-1364
Zip
06611-1364
Phone Number
203-816-0100
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
50 Camore St
Stamford, CT 06905-3505
City
Stamford
State
CT
Zip
06905-3505

License Information

License Number
14.015071
License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan S Pollack, DPT, PT?

The NPI number of Ethan S Pollack, DPT, PT is 1477438240. It was assigned on August 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Ethan S Pollack, DPT, PT?

Ethan S Pollack, DPT, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 14.015071.

Where does Ethan S Pollack, DPT, PT practice?

The practice location is 6540 Main St Ste 5, Trumbull, CT 06611-1364. The office can be reached at 203-816-0100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477438240 directly on the NPPES registry website.

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