ETHAN DAVID PT, DPT
NPI 1972433993
Physical Therapist in Plainfield, IL
About Ethan David Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN DAVID PT, DPT (NPI 1972433993) is an individual physical therapist in Plainfield, Illinois, licensed in Illinois (070.039858) and active in the NPI registry since May 2026. He is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan David Pt, 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.
Medicare Billing Reassignment
Medicare enrollment records show Ethan David reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plainfield, IL 60544
- Reassigned Medicare billing, Illinois enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLAINFIELD, IL 60544
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 Ethan David's NPI number?
The NPI number for Ethan David is 1972433993. It was assigned to this individual provider in the NPPES registry on May 21, 2026.
Where is Ethan David located?
Ethan David practices at 23915 W Main St Unit 109, Plainfield, IL 60544. The listed phone number is (815) 296-0596.
What is Ethan David's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Ethan David enrolled in Medicare?
Yes. Ethan David is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ethan David's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan David reassigns Medicare benefits to Legacy Physical Therapy And Wellness PLLC (Plainfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan David's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ethan David was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.