ETHAN PETTIWAY (NPI# 1023153558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023153558 |
| Entity Type | Individual |
| Full Name | ETHAN PETTIWAY |
| Credential | MPT |
| Practice Address |
500 N Kingsbury St Chicago IL 60654-5721 |
| Mailing Address |
500 Kingsbury Chicago IL 60654 |
| Practice Telephone | 3125275801 |
| Practice Fax Number | 3126444567 |
| Mailing Telephone | 3125275801 |
| Mailing Fax Number | 3126444567 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070014987 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 N KINGSBURY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235270117 | Jennifer Janowski | Physical Therapist | 500 N Kingsbury St, East Bank Club, Chicago, IL 60610-4021 | 2007-02-12 |
| 1366098485 | Eunita C Carter | Massage Therapist | 500 N Kingsbury St, Chicago, IL 60654-5721 | 2019-08-14 |
| 1427604768 | Singeli Zaparaniuk | Massage Therapist | 500 N Kingsbury St, Chicago, IL 60654-5721 | 2019-08-13 |
| 1114489408 | Calvin K Ip | Physical Therapist | 500 N Kingsbury St, Chicago, IL 60654-5721 | 2019-04-04 |
| 1699237917 | Sarah Lynn Calamita | Dietitian, Registered | 500 N Kingsbury St, Chicago, IL 60654-5799 | 2019-04-04 |
| 1356840706 | Kayla A Hennessy | Physical Therapist | 500 N Kingsbury St, Chicago, IL 60654-5721 | 2018-02-12 |
| 1790296929 | Sarah M Khoury | Physical Therapist | 500 N Kingsbury St, Chicago, IL 60654-5721 | 2017-10-16 |
| 1871011213 | Matthew J Mastenbrook | Physical Therapist | 500 N Kingsbury St, Chicago, IL 60654-5721 | 2017-09-06 |
| 1801318043 | Michael K Jordan | Physical Therapist | 500 N Kingsbury St, Chicago, IL 60654-5721 | 2017-07-10 |
| 1801208988 | Michael Bruszer | Physical Therapist | 500 N Kingsbury St, Chicago, IL 60654-5721 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667698 | Saptherapy Physical Rehab & Associates | Physical Therapist | 111 N Wabash Ave Ste 1300, Chicago, IL 60602-2010 | 2020-10-20 |
| 1841899218 | Diana Ahtziri Trujillo Torres | Physical Therapist | 3934 W 68th St, Chicago, IL 60629-4106 | 2020-10-18 |
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1942817390 | Abby Lopata | Physical Therapist | 700 W Fullerton Ave, Chicago, IL 60614-2600 | 2020-09-29 |
| 1265048243 | Brian Anderson | Physical Therapist | 961 W 18th St, Chicago, IL 60608-2362 | 2020-09-16 |
| 1023623055 | Paradigm Rehab and Consultancy Inc | Physical Therapist | 2711 N Mcvicker Ave, Chicago, IL 60639-1115 | 2020-09-15 |
| 1598370090 | Tarek Said Saleh | Physical Therapist | 9030 S Commercial Ave, Chicago, IL 60617-4303 | 2020-09-11 |
| 1083228654 | Nathan Deblauw | Physical Therapist | 1214 W Loyola Ave, Chicago, IL 60626-5102 | 2020-09-01 |
| 1457964314 | Fatima Hamouda | Physical Therapist | 5454 S Shore Dr Apt 508, Chicago, IL 60615-5968 | 2020-08-28 |
| 1245843747 | Meghan Sherlock | Physical Therapist | 10407 S Artesian Ave, Chicago, IL 60655-1014 | 2020-08-25 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.