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

Ethan Martinez

Individual provider Physical Therapy Assistant · NPI 1104786268

Ethan Martinez is a Physical Therapy Assistant in Woodridge, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
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Practice location Address checks out

6410 Route 53 Ste 300
Woodridge, IL 60517-1361
Phone: (331) 775-3000
Fax: (331) 775-3001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160-010567 (IL)

Record details

NPI number1104786268
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 12, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

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