Individual provider Active NPI

Ethan Daniel Launstein, PT, DPT, AT, ATC

  • Sports Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1003467630
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Practice address
2800 Winslow Ave
Cincinnati, OH 45206-1144
Phone
(513) 636-3200
NPI assigned
Sep 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X
Sports Physical Therapist 2251S0007X Primary

Addresses

Primary practice location

2800 Winslow Ave
Cincinnati, OH 45206-1144

Mailing address

584 E Columbia Rd
Mason, MI 48854-9647
Phone (517) 525-1679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1003467630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 E COLUMBIA RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549647",
            "telephone_number": "517-525-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WINSLOW AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061144",
            "telephone_number": "513-636-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUNSTEIN",
        "first_name": "ETHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.