David Jay Ettinger, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029579 Issued in NY

Practice address

1716 Coney Island Ave
Brooklyn, NY 11230-5801

Phone

(917) 658-7726

NPI assigned

Aug 30, 2007

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forward Physical Therapy, PLLCGroup PAC ID 1557529682, 3 clinicians

Ahava Medical and Rehabilitation Center, LLCGroup PAC ID 1557416997, 150 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forward Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1093082604

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  Medicare reassignment NPD
• Yad OT PT PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1174927677

  Physical Therapist

  NPD (past) Authorized official
• First Step Therapy (OT, SLP & PT) PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1326299421

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1629262993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 TURF RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813506",
            "telephone_number": "719-336-4900",
            "fax_number": "718-336-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305801",
            "telephone_number": "917-658-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etta Novick MD & Isaac M Novick MD PC
• Etta Novick MD & Isaac M Novick MD PC
• Alana M Ettienne Steele
• Cheryl-Ann S Ettienne, ED.D, MS, AGPCNP
• Gail Ettienne, MD
• Gitty Ettinger
• Michael Neal Ettinger, DDS
• Reva Leah Ettinger
• Howard Ettlinger, SPECIAL ED
• Rachelle Ettman, MS ED

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.