Individual provider · Type 1 NPI

Ethan M. Whitaker

Physical Therapy Assistant · Lake Barrington, IL

NPI number 1831674910 Active

Practice location

28156 W Northpointe Pkwy Ste 125
Lake Barrington, IL 60010-2346

Call (224) 512-9800 Map

Fax (224) 512-9714

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1831674910

Ethan M. Whitaker's National Provider Identifier is 1831674910, issued on Sep 25, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Barrington, IL. The record was last updated on Apr 29, 2019.