Ethan Pettiway in Chicago - Physical Therapist
Ethan Pettiway - NPI 1023153558
Ethan Pettiway is a Physical Therapist in Chicago, Illinois. Ethan Pettiway practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ethan Pettiway is 1023153558. The last update date is 2009-12-01.
Ethan Pettiway's current location address is 500 Kingsbury, Chicago, Illinois. You can contact this provider via phone number 3125275801 and fax number 3126444567. The mailing address for Ethan Pettiway is 500 Kingsbury, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan Pettiway |
|---|---|
| Address | 500 Kingsbury, Chicago, Illinois |
| Phone Number | 3125275801 |
| Fax Number | 3126444567 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1023153558 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2009-12-01 |
Provider Mailing Address Detail
| Address | 500 Kingsbury |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60654 |
| Phone Number | 3125275801 |
| Fax Number | 3126444567 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 70014987 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ethan Pettiway by the Centers for Medicare & Medicaid Services?
The Ethan Pettiway has been issued the NPI (National Provider Identifier) 1023153558, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ethan Pettiway's facilities are situated?
The facilities of Ethan Pettiway are physically located at the following address: 500 Kingsbury, Chicago, IL, 60654.
What is Ethan Pettiway's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ethan Pettiway is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
When did Ethan Pettiway receive its 1023153558 assignment?
The Ethan Pettiway was assigned its 1023153558 on 2007-02-21, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Ethan Pettiway most recently updated or revised?
The details related to Ethan Pettiway, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-01.
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