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)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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.
Practice location
Mailing address
Registry dates
- 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.