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

Ethan Lizak, PT, DPT

Individual provider Physical Therapist · NPI 1043046808

Ethan Lizak, PT, DPT is a Physical Therapist in Private Practice in Hatfield, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Core 3 Physical Therapy LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
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

1691 Bethlehem Pike
Hatfield, PA 19440-1302
Phone: (267) 308-5330
Fax: (267) 308-5331
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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 PT032578 (PA)

Record details

NPI number1043046808
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Core 3 Physical Therapy Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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