Ethan Hunke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3646 Issued in NE

Practice address

1103 Galvin Rd S # Areaa
Bellevue, NE 68005-3004

Phone

(402) 408-0890

Fax

(402) 408-0892

NPI assigned

Sep 30, 2016

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 NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovate Rehab and Wellness LLCGroup PAC ID 5991054645, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Innovate Rehab and Wellness LLC

  • Physical Therapy Clinic/Center
  • Bellevue, NE
  • NPI 1588179923

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Community Rehab LLC

  • Physical Therapist
  • South Sioux City, NE
  • NPI 1932218773
  Medicare reassignment NPD

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1053860171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 GALVIN RD S # AREAA",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053004",
            "telephone_number": "402-408-0890",
            "fax_number": "402-408-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNKE",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaidyn Dominic Hughes
• Shelby Hughes
• Danika Hughey
• Elizabeth Humlicek
• Safia Humri
• Jill Catherine Hunter, M.S., CCC-SLP
• Tracey Ann Huppe, DPT
• Caitlyn Hutchinson
• Karie Hutchison
• Gretchen C Hutson

• Physical Therapist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.