Ethan Corona Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT033545 Issued in PA

Practice address

1985 Lincoln Way
White Oak, PA 15131-2418

Phone

(412) 672-2352

Fax

(412) 672-2657

NPI assigned

Aug 11, 2025

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Sports Physical Therapy Associates, Inc.Group PAC ID 5890609887, 92 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.

• Orthopedic & Sports Physical Therapy Associates, Inc.

  • Physical Therapist
  • Charleroi, PA
  • NPI 1689636581
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Associates Inc

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1003415829
  NPD

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1275418998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 RTE 51 N",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150123535",
            "telephone_number": "724-565-5806",
            "fax_number": "724-483-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312418",
            "telephone_number": "412-672-2352",
            "fax_number": "412-672-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "ETHAN",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse M Coleman, DC
• Consales Chiropractic Health Center II
• Anthony M Consales, DC
• Cullyn Anthony Consales, D.C.
• Leroy Douglass Cooper Jr.
• Devlynn Victoria Degnan
• Dermatological Associates PC
• Domenic D Diclemente, MD
• Louis A Ditoppa, D.O.
• Joseph Thomas Driscoll

• Physical Therapist in White Oak, PA
• Providers in White Oak, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.