Ethan John Linder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020737 Issued in OH

Practice address

701 North St
Auburn, IN 46706-1633

Phone

(260) 333-0031

Fax

(260) 333-0685

NPI assigned

Aug 21, 2023

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 IN, OH2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choice Physical TherapyGroup PAC ID 5496148389, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Choice Physical Therapy

  • Physical Therapy Clinic/Center
  • Auburn, IN
  • NPI 1689332868

  OH, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1104600493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NORTH ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061633",
            "telephone_number": "260-333-0031",
            "fax_number": "260-333-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NORTH ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061633",
            "telephone_number": "260-333-0031",
            "fax_number": "260-333-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDER",
        "first_name": "ETHAN",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lenhart-Webster
• Elizabeth Ann Lepper, APN
• Jeremy David Lewis, MSED, LMFT
• Sean Lewis, MD
• Ronald Eugene Ley, D.C.
• Leana Dariela Lizardo, MSW
• Longe Optical North Inc
• Patricia Luckey
• Laura Marie Macy, DO
• Mad Ventures Inc.

• Physical Therapist in Auburn, IN
• Providers in Auburn, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.