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

Ethan David, PT, DPT

Individual provider Physical Therapist · NPI 1972433993

Ethan David, PT, DPT is a Physical Therapist in Private Practice in Plainfield, Illinois. Practices with Legacy Physical Therapy and Wellness PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

23915 W Main St Unit 109
Plainfield, IL 60544-1993
Phone: (815) 296-0596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.039858 (IL)

Record details

NPI number1972433993
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address11016 Haley Ct, Orland Park, IL 60467-5667

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Group practice Legacy Physical Therapy And Wellness Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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