Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Raphael Lafontaine, DPT

Individual provider Physical Therapist · NPI 1689396640

Dr. Ethan Raphael Lafontaine, DPT is a Physical Therapist in Private Practice in Rock Hill, South Carolina. Qualified in 2022, 4 years ago. Practices with Carolina Neurosurgery and Spine Associates PA, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
4
Licensed in
NC, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

937 Riverwalk Pkwy Ste 101
Rock Hill, SC 29730-0179
Phone: (803) 325-1618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14135 Ballantyne Corporate Pl Ste 100, Charlotte, NC 28277-3668 — (704) 831-4300

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11552 (SC)
Physical Therapist Taxonomy 225100000X · Licence P21714 (NC)

Record details

NPI number1689396640
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESNovember 4, 2022
Certification dateOctober 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Carolina Neurosurgery And Spine Associates Pa — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Rock Hill