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Ethan Pettiway, MPT

Physical Therapist in Chicago, IL · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023153558

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Registry record

Entity type Individual (Type 1)
Name Ethan Pettiway
Credential MPT
Sex Male
Practice address 500 N Kingsbury St, Chicago, IL, 60654
Phone (312) 527-5801
Fax (312) 644-4567
Enumeration date Feb 21, 2007
Last updated in NPPES Dec 1, 2009

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 070014987 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ethan Pettiway?
The National Provider Identifier (NPI) for Ethan Pettiway is 1023153558, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ethan Pettiway practice?
The practice location on file with NPPES is in Chicago, IL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-01.