Active NPI
Ethan Brittingham, PT, DPT
- Physical Therapist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22186
- Practice address
- 11081 Forest Pines Dr Ste 112
Raleigh, NC 27614-7656 - Phone
- (919) 562-9410
- NPI assigned
- May 25, 2023
- Last updated
- May 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22186 | NC | Primary |
Addresses
Primary practice location
11081 Forest Pines Dr Ste 112
Raleigh, NC 27614-7656
Mailing address
222 White Pine Dr
Durham, NC 27705-7508
Phone (803) 760-5406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8470 Falls of Neuse Rd
Suite 100
Raleigh, NC 27615-3550
Phone (919) 803-0738
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 61.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22186 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of North Carolina, P.a. | Current | Accepting new patients | |
| Orthopaedic Specialists of North Carolina, P.a. | Physical Therapist | Current | Accepting new patients |
Locations
6602 Knightdale Blvd
Ste 310
Knightdale, NC 27545
11081 Forest Pines Dr
Ste 112
Raleigh, NC 27614
Phone (252) 478-3736
11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247
Interoperability endpoints
- ethan.brittingham.1@12529.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OrthoNC
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1447553870
-
dba OrthoNC
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1649327750
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1043902299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 WHITE PINE DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277057508",
"telephone_number": "803-760-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11081 FOREST PINES DR STE 112",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147656",
"telephone_number": "919-562-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTINGHAM",
"first_name": "ETHAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.