Ethan Turner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2100 W. South 3Rd
Shelbyville, IL 62565

Phone

(217) 774-9660

NPI assigned

Aug 20, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Physical TherapyGroup PAC ID 5991861049, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Physical Therapy

  • Physical Therapist
  • Swansea, IL
  • NPI 1659525368
  Medicare reassignment Care Compare group NPD
• Vandalia Physical Therapy LTD

  • Physical Therapy Clinic/Center
  • Vandalia, IL
  • NPI 1174585384

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1003463530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 E 2200 NORTH RD",
            "city": "FINDLAY",
            "state": "IL",
            "postal_code": "625344163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W. SOUTH 3RD",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "62565",
            "telephone_number": "217-774-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 S Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IL",
            "postal_code": "619512257",
            "country_code": "US",
            "telephone_number": "217-273-5629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lila Sullivan
• Amy Jean Summers, P.T.
• Lisa Thompson
• Tiny Tots Therapy, Inc
• Anna Marie Turner, RD
• Unlimited Development, Inc
• Sarah Vogel, PT, DPT
• Tina Vogel
• Stacey Waddington, PA-C
• Walmart Inc.

• Physical Therapist in Shelbyville, IL
• Providers in Shelbyville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.