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

Individual provider Physical Therapist · NPI 1740166222

Ethan Dupre, DPT is a Physical Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Fitlife Fitness and Aquatics, Incorporated, a 7-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
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

7140 Germantown Ave
Philadelphia, PA 19119-1843
Phone: (215) 753-8898
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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 PT033560 (PA)

Record details

NPI number1740166222
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fitlife Fitness And Aquatics, Incorporated — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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