Ethan Douglas Hinton, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

161123003 Issued in WA

Practice address

3901 Kern Way Ste 102
Yakima, WA 98902-7804

Phone

(509) 985-6583

Fax

(509) 895-7452

NPI assigned

Apr 12, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Aegis Physical Therapy Inc. PS

  • Physical Therapy Clinic/Center
  • Yakima, WA
  • NPI 1437330339
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1073193264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 KERN WAY STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027804",
            "telephone_number": "509-895-7449",
            "fax_number": "509-895-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 KERN WAY STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027804",
            "telephone_number": "509-985-6583",
            "fax_number": "509-895-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTON",
        "first_name": "ETHAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "161123003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Hillman
• Jennifer Rebecca Hilmes
• Michael Hinkle
• Gerald Hino
• John Hinrichs
• Heather Jacqueline Hinton, M.S.
• Roy W. Hinze, O.D.
• Martha A. Hipolito
• Chandler James Hire, ND
• Hires Family Resources

• Physical Therapist in Yakima, WA
• Providers in Yakima, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.