Ethan Fink, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

111729 Issued in IA

Practice address

204 E Charles St
Oelwein, IA 50662-1940

Phone

(319) 283-2002

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By the provider in NPPES

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 IA

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

Performance Rehab LLCGroup PAC ID 4486712619, 9 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Rehab LLC

  • Physical Therapist
  • Oelwein, IA
  • NPI 1811052350
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1336893874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15674 180TH ST",
            "city": "HAWKEYE",
            "state": "IA",
            "postal_code": "521478305",
            "telephone_number": "563-920-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHARLES ST",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621940",
            "telephone_number": "319-283-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "111729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayla Marie Davis, MSN, ARNP, FNP-BC
• Giovanni Demezier
• DJ Trade LLC
• Dr Mark M Zimmer PC (Oelwein Family Eyecare)
• Lynda L Elgers, MA, CADC
• Jan Marie Franks, CEDAC PROVIDER
• Kyla Frost, ARNP
• Gearhart Chiropractic PC (Oelwein Chiropractic Clinic INC)
• Tim Daniel Gearhart, DC
• Clay F Hallberg, DO

• Physical Therapist in Oelwein, IA
• Providers in Oelwein, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.