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

Ethan Daniel Hancock

Individual provider Physical Therapist · NPI 1609345487

Ethan Daniel Hancock is a Physical Therapist in Private Practice in Brownsburg, Indiana. Qualified in 2021, 5 years ago. Practices with Indiana Luna Care Physical Therapy LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

590 Pit Rd
Brownsburg, IN 46112-7830
Phone: (317) 456-1056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 S. Washington St., Marion, IN 46953-4695 — (219) 252-5518

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 05014434A (IN)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1609345487
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2018
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address590 Pit Rd, Brownsburg, IN 46112-7830

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Indiana Luna Care Physical Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brownsburg