What is Ethan Lake's NPI number?

Ethan Lake's National Provider Identifier (NPI) is 1336818301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Lake's specialty?

Ethan Lake is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Ethan Lake located?

Ethan Lake's practice location on file with NPPES is 80 Highway 304, Calera, AL 35040-5551.

What is Ethan Lake's phone number?

The practice phone number listed in the NPPES registry for Ethan Lake is (205) 668-6900.

Is Ethan Lake's NPI active?

Yes — Ethan Lake's NPI (1336818301) is active in the NPPES registry as of the last update on 2021-11-12.

IndividualActive

Ethan Lake, PT, DPT

NPI 1336818301 · Physical Therapist · Calera, AL

Ethan Lake, PT, DPT is a Physical Therapist provider in Calera, AL (NPI 1336818301).

Provider details

NPI number: 1336818301
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: PT, DPT
Sex: Male
Sole proprietor: No
License: PTH10621 (AL)

Practice location

80 Highway 304

Calera, AL 35040-5551

Phone: (205) 668-6900

Fax: (205) 668-2677

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

1200 Corporate Dr Ste 400

Hoover, AL 35242-5424

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense PTH10621 (AL)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist225100000XLicense 1-1177 (AL)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2021-09-12
Last updated: 2021-11-12
Certified: 2021-11-12

Frequently asked questions

What is Ethan Lake's NPI number?: Ethan Lake's National Provider Identifier (NPI) is 1336818301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Ethan Lake's specialty?: Ethan Lake is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Ethan Lake located?: Ethan Lake's practice location on file with NPPES is 80 Highway 304, Calera, AL 35040-5551.
What is Ethan Lake's phone number?: The practice phone number listed in the NPPES registry for Ethan Lake is (205) 668-6900.
Is Ethan Lake's NPI active?: Yes — Ethan Lake's NPI (1336818301) is active in the NPPES registry as of the last update on 2021-11-12.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions