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

Ethan Lake, PT, DPT

Individual provider Physical Therapist · NPI 1336818301

Ethan Lake, PT, DPT is a Physical Therapist in Calera, Alabama. Licensed in Alabama. Registered with an NPI since 2021.

Licensed in
AL
In the registry since
2021
Specialties on file
2
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

80 Highway 304
Calera, AL 35040-5551
Phone: (205) 668-6900
Fax: (205) 668-2677
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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 PTH10621 (AL)
Physical Therapist Taxonomy 225100000X · Licence 1-1177 (AL)

Record details

NPI number1336818301
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 12, 2021
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

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