Marie C Etienne, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05013509A Issued in IN

Practice address

515 Read St
Evansville, IN 47710-1739

Phone

(812) 437-1420

Fax

(812) 437-1425

NPI assigned

Aug 13, 2019

Last updated

Feb 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marie C Sandage Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Oa Therapy LLC

  • Physical Therapy Clinic/Center
  • Evansville, IN
  • NPI 1376865071

  Physical Therapist

  NPD
• Ohio County Hospital Corporation

  dba Ohio County Surgical Care

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Healthcare Gastroenterology

  • Gastroenterology Physician
  • Owensboro, KY
  • NPI 1437961828
  NPD
• Ohio County Hospital Corporation

  dba Ohio County Midwest ENT

  • Otolaryngology Physician
  • Owensboro, KY
  • NPI 1952099087

  Physical Therapist

  NPD
• Advanced Rehabilitation,Inc.

  • Rehabilitation Clinic/Center
  • Tell City, IN
  • NPI 1154319101
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1912553256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477060922",
            "telephone_number": "866-309-5567",
            "fax_number": "812-491-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 READ ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101739",
            "telephone_number": "812-437-1420",
            "fax_number": "812-437-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "MARIE",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013509A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "SANDAGE",
            "middle_name": "C",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eva Esarey, MT-BC
• Mary Elizabeth Esche, DPT
• Esmeralda Espinoza Martinez
• Erik Estep, LSW
• Harold Seward Esty IV, MSW, LCSW
• Sam J Euler, DDS
• Tina L Evans-Robinson, MD
• Amy Evans
• Charlotte J Evans, FNP
• David M Evans, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.