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

Ethen Ditty

Individual provider Physical Therapist · NPI 1972484749

Ethen Ditty is a Physical Therapist in Private Practice in Pasco, Washington. Qualified in 2025, 1 year ago. Practices with Lourdes Hospital LLC, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025
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Practice location Address checks out

9915 Sandifur Pkwy
Pasco, WA 99301-8941
Phone: (509) 546-2306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4215 Convention Pl Ste B, Pasco, WA 99301-0009 — (509) 546-2306

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (WA)

Record details

NPI number1972484749
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address532 Edith St, Burbank, WA 99323-9622

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 Lourdes Hospital Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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