Ethan John Myers, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020478 Issued in OH

Practice address

2170 Stumbo Rd
Ontario, OH 44906-1275

Phone

(419) 756-2525

NPI assigned

Apr 29, 2024

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 OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bucyrus Community Hospital, LLCGroup PAC ID 0749460673, 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.

• Bucyrus Community Hospital LLC

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1629372461
  Medicare reassignment Care Compare group NPD
• Bucyrus Community Hospital LLC

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1104914274
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1245086461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W BURWELL AVE",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448429574",
            "telephone_number": "330-432-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 STUMBO RD",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061275",
            "telephone_number": "419-756-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ETHAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Samantha Moore, CNP
• Connie J Morris
• Allison Morrison
• Lori Kay Mullins, CNP
• Emily Nicole Myers, PHARMD
• Husam Mohamed Najah
• National Vision Inc
• New Mercy Outreach, Inc.
• Cynthia Nell Nichols, MA CCC-SLP
• John Nirmalnath, M.D.

• Physical Therapist in Ontario, OH
• Providers in Ontario, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.