DR. ETHAN LOFTIN DPT - NPI 1053142885 - Physical Medicine & Rehabilitation in Slidell, LA

Q: What is Ethan Loftin's NPI number?

The NPI number for Ethan Loftin is 1053142885. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Q: What is Ethan Loftin's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Loftin was last updated on August 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Ethan Loftin Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN LOFTIN DPT (NPI 1053142885) is an individual sports medicine provider in Slidell, Louisiana, licensed in Louisiana (7839) and active in the NPI registry since August 2024. He maintains a secondary practice location in Pass Christian and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053142885

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameDR. ETHAN LOFTINCredential: DPT

Location Address1311 GAUSE BLVDSlidell, LA 70458-3015

Mailing Address1311 Gause BlvdSlidell, LA 70458-3015 · (985) 649-6577

Phone(985) 649-6577

Fax(985) 649-7615

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 13, 2024

NPPES CertifiedAugust 13, 2024

✔ NPI 1053142885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

License✔ Licensed in LA · 7839

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

1311 GAUSE BLVD, Slidell, LA 70458

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Secondary Practice Location 1

Location 11053 Tina Ladner Vic Faye RdPass Christian, MS 39571-8920 · Phone (228) 255-5151 · Fax (985) 228-5055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ethan Loftin Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820538275

PECOS Enrollment IDI20240911004048

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

255 services25 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

228 services26 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER G. MATULA PT

Physical Therapist