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Landon Keith Ethridge, PTA

NPI 1720507288ActiveIndividual· Physical Therapist· Springfield, TN

Physical Therapist (PTA) in Springfield, Tennessee, with an NPI issued in September 2017.

Overview

NPI1720507288
StatusActive
Entity typeIndividual
CredentialPTA
Sole proprietorNo
NPI issuedSep 15, 2017
Last updated in NPPESSep 15, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Springfield

All 42 physical therapists in Springfield · All physical therapists in Tennessee