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

Ethan Michael Dutka, DPT

Individual provider Physical Therapist · NPI 1770435299

Ethan Michael Dutka, DPT is a Physical Therapist in Private Practice in Greer, South Carolina. Qualified in 2025, 1 year ago. Practices with Palmetto Physical Therapy PC, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

420 The Pkwy Ste D
Greer, SC 29650-5206
Phone: (864) 879-7757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13232 (SC)

Record details

NPI number1770435299
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 10, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address215 Edmondston Dr Bldg 116, Piedmont, SC 29673-6423

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 Palmetto Physical Therapy Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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