Provider Profile

Ethan Pettiway, MPT

Unclaimed Profile

About Ethan Pettiway

Ethan Pettiway, MPT is a physical therapist practicing in Chicago, IL. According to Medicare claims data, Ethan cared for 198 Medicare patients across 2,034 services. The services billed most often include therapy procedure using manual technique, each 15 minutes, therapy procedure using functional activities, and therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2005

Specialty

Physical Therapist (Primary)

Credentials & Licensing

IL license070014987
NPI1023153558
NPI issued02/21/2007

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Ethan Pettiway's specialty?

Ethan Pettiway is a physical therapist in Chicago, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Ethan Pettiway?

Ethan Pettiway is listed at 500 N Kingsbury St, Chicago, IL 60654. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Ethan Pettiway?

The number on file is (312) 527-5801. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Ethan Pettiway's NPI number?

Ethan Pettiway's National Provider Identifier is 1023153558. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Ethan Pettiway's education?

Ethan Pettiway attended Other, graduating in 2005. This comes from the CMS National Downloadable File.

CMS public data

How long has Ethan Pettiway been practicing?

Ethan Pettiway has 21 years experience. Calculated from a graduation year of 2005, reported in the CMS National Downloadable File.

CMS public data

What is Ethan Pettiway known for?

According to Medicare billing data, Ethan Pettiway provides treatments such as therapy procedure using manual technique, each 15 minutes and therapy procedure using functional activities. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Ethan Pettiway confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ethan Pettiway. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.