1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Physical Therapist
  6. NPI Profile

MR. KENNETH TILLMAN ETHINGTON JR. PTA
NPI 1811338445
Physical Therapist - Geriatrics in Salt Lake City, UT

Active since July 11, 2013
2707 S ADAMS ST APT 3, SALT LAKE CITY, UT 84115(435) 668-2083 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Tillman Ethington Jr. Pta NPPES

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

MR. KENNETH TILLMAN ETHINGTON JR. PTA (NPI 1811338445) is an individual geriatrics provider in Salt Lake City, Utah, licensed in Utah (5477970-2402) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1811338445
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameMR. KENNETH TILLMAN ETHINGTON JR.Credential: PTA
Location Address2707 S ADAMS ST APT 3Salt Lake City, UT 84115-3350
Mailing Address2707 S Adams St Apt 3Salt Lake City, UT 84115-3350 · (435) 668-2083
Phone(435) 668-2083
Sole ProprietorNo
Enumeration DateJuly 11, 2013
✔ NPI 1811338445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in UT · 5477970-2402
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 5477970-2402 (UT)
2707 S ADAMS ST APT 3, Salt Lake City, UT 84115
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Ethington's NPI number?

The NPI number for Kenneth Ethington is 1811338445. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Kenneth Ethington located?

Kenneth Ethington practices at 2707 S Adams St Apt 3, Salt Lake City, UT 84115. The listed phone number is (435) 668-2083.

What is Kenneth Ethington's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Kenneth Ethington was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.