Individual provider Active NPI

Ethan L Hastings, PT, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1922947043
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2422 NW 150TH St Unit 5
Oklahoma City, OK 73134-2031
Phone
(405) 735-8777
Fax
(405) 735-8778
NPI assigned
Mar 25, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X OK Primary

Addresses

Primary practice location

2422 NW 150TH St Unit 5
Oklahoma City, OK 73134-2031

Mailing address

2422 NW 150TH St Unit 5
Oklahoma City, OK 73134-2031
Phone (405) 735-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605000806 OK Practitioner - Physical Therapist in Private Practice 8921579426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osspt NW Okc PLLCGroup PAC ID 2365828571, 3 clinicians

Practice addresses (Care Compare)

2422 NW 150TH St
Unit 5
Oklahoma City, OK 73134-2031
Phone 40573587773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osspt NW Okc PLLC Physical Therapist CurrentSince May 28, 2026 Accepting new patients

Locations

2422 NW 150th St
Unit 5
Oklahoma City, OK 73134
Phone (405) 735-8777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1922947043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 NW 150TH ST UNIT 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342031",
            "telephone_number": "405-735-8777",
            "fax_number": "405-735-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 NW 150TH ST UNIT 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342031",
            "telephone_number": "405-735-8777",
            "fax_number": "405-735-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "ETHAN",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.