Individual provider Active NPI

Ethan G Rocha, DPT

  • Physical Therapist
  • Rockford, IL
National Provider Identifier
1942990064
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.027378 Issued in IL
Practice address
200 Y Blvd
Rockford, IL 61107-3019
Phone
(815) 398-9491
Fax
(815) 381-7498
NPI assigned
May 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 070.027378 IL Primary

Addresses

Primary practice location

200 Y Blvd
Rockford, IL 61107-3019

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626000571 IL Practitioner - Physical Therapist in Private Practice 5799143665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1073 W Lane Rd
Machesney Park, IL 61115-1622
Phone (815) 398-9491

24 S Morgan St
Chicago, IL 60607-3668
Phone (312) 421-7274

770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.027378ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Apr 25, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 6, 2023 Accepting new patients
Orthomidwest, PLLC CurrentSince Oct 15, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 6, 2023 Accepting new patients
Orthomidwest, PLLC Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Apr 25, 2023 Accepting new patients

Locations

3973 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 348-7600

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

10801 S Western Ave
Chicago, IL 60643
Phone (773) 445-4200

24 S Morgan St
Chicago, IL 60607
Phone (312) 421-7274

712 W Grand Ave
Chicago, IL 60654
Phone (872) 304-1600

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717

200 Y Blvd
Rockford, IL 61107
Phone (779) 696-9700

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

9 N 2nd St
St Charles, IL 60174
Phone (630) 526-4200

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Interoperability endpoints

  • Direct secure messaging: ethan.rocha.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 6

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1942990064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735263",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 Y BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073019",
            "telephone_number": "815-398-9491",
            "fax_number": "815-381-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "ETHAN",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.027378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.