Gabriel D. Ettenson, PT
NPI 1154323624ActiveIndividual· Physical Therapist· Niwot, CO
Physical Therapist (PT) in Niwot, Colorado, licensed in CO, with an NPI issued in August 2005.
Overview
| NPI | 1154323624 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Aug 13, 2005 |
| Last updated in NPPES | Jul 11, 2026 |
| Certified by provider | Jul 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 0012163 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapists in Niwot
- 1376260869
- 1710513106
- 1497146575