Ethan Dudley
NPI 1750964284 · Physical Therapist · Maryville, TN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Dudley is a Physical Therapist provider in Maryville, TN (NPI 1750964284).
Provider details
- NPI number
- 1750964284
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,897 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 807 | $24 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 494 | $20 |
| Therapy Procedure in a Group Setting97150 | 228 | $13 |
| Therapy Procedure Using Functional Activities97530 | 223 | $31 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 91 | $27 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 54 | $93 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2021-05-26
- Certified
- 2021-05-26
Frequently asked questions
- What is Ethan Dudley's NPI number?
- Ethan Dudley's National Provider Identifier (NPI) is 1750964284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Dudley's specialty?
- Ethan Dudley is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ethan Dudley located?
- Ethan Dudley's practice location on file with NPPES is 1632 W Broadway Ave, Maryville, TN 37801-5600.
- What is Ethan Dudley's phone number?
- The practice phone number listed in the NPPES registry for Ethan Dudley is (865) 984-1996.
- Does Ethan Dudley accept Medicare?
- Ethan Dudley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Dudley's NPI active?
- Yes — Ethan Dudley's NPI (1750964284) is active in the NPPES registry as of the last update on 2021-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.