Michael Bryan Ethington, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

9368 Cedar Center Way Apt 240217
Louisville, KY 40291-4522

Phone

(502) 231-3979

NPI assigned

Jul 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1609349018

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1295208734
  NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Jeffersonville, IN
  • NPI 1851864169
  NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1235602616
  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Shepherdsville, KY
  • NPI 1265905665

  Physical Therapist

  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Shelbyville, KY
  • NPI 1720543531
  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1740809045
  NPD (past)

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1063185551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 CEDAR CENTER WAY APT 240217",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914522",
            "telephone_number": "502-231-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9368 CEDAR CENTER WAY APT 240217",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914522",
            "telephone_number": "502-231-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHINGTON",
        "first_name": "MICHAEL",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008448",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KORT",
            "affiliation": "N",
            "address_1": "9368 Cedar Center Way Apt 240217",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402914522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Estill, PT, DPT
• Yumaika Estrada, M.ED., LPCA
• Eta Day Care Center LLC
• Eta Day Care Center LLC
• Julie Etherton
• Allison Anne Etling
• Steven Wayne Etoch, MD
• Danielle Etter, LCSW
• Simone S Etter, DPT
• Joseph William Etterer

• Orthopedic Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthopedic Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.