Ethan Joel Dudley
Physical Therapist · Maryville, TN
Ethan Joel Dudley is a physical therapist with a practice address in Maryville, Tennessee, and NPI 1750964284, issued on May 3, 2021. Check the license (Tennessee 13412, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ethan Joel Dudley
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 13412 TN
Self-reported in NPPES; status is on the state search - Practice location
- 1632 W Broadway Ave, Maryville, TN 37801
- Phone
- (865) 984-1996
- Enumerated
- May 3, 2021
- Record last updated
- May 26, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (865) 984-1997
- Medicare enrollment
- Enrolled (PECOS I20210706002207); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 5,363 in Tennessee → Look up another NPI →
Also registered at 1632 W Broadway Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Corey BirdPhysical Therapist1972367837
- Jillian ConlonPhysical Therapist1649131178
- Scott Douglas, DPTPhysical Therapist1831622786
- Douglas Kauffman, MPTPhysical Therapist1538237276
- Kathleen LandeliusPhysical Therapist1679853980
- Lauren Levko, DPTPhysical Therapist1023457876
Verify Ethan Joel Dudley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 13412Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Agilitas USA, IncMaryville, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ethan Joel Dudley among 5,363 physical therapist records in Tennessee
Ethan Joel Dudley is one of 5,363 physical therapist records with a practice address in Tennessee. 36% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 73% of them.
- NPI issued2021 · 73% of these records are older, 23% newer
- In a Medicare fileYes · 36% of these records are
- In the CMS Doctors and Clinicians fileYes · 36% of these records are
- Graduated2021 · median 2017 among the 1,950 with a school on file
- Record last updated2021 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
56 physical therapist records list a practice address in Maryville
They are 56 of the 1,317 NPPES records with a practice address in Maryville, and 5,363 physical therapist records in Tennessee.
All 5,363 in Tennessee → Every provider in Maryville → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Kristen Bonk, DPTMaryville, TN 378011255680401
- Mary Cawthorn, PTMaryville, TN 378011528019759
- Jeffrey Chandler, MS, PTMaryville, TN 378011952397820
- Britt Dalton, PTMaryville, TN 378011477648616
- Eric Hudgins, PTMaryville, TN 378011053724526
- Baron Johnson, PTMaryville, TN 378011336217074
- Douglas Kauffman, MPTMaryville, TN 378011538237276
- Kathleen LandeliusMaryville, TN 378011679853980
Common questions
What is Ethan Joel Dudley's NPI number?
Ethan Joel Dudley's National Provider Identifier (NPI) is 1750964284, issued on May 3, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Ethan Joel Dudley located?
The NPPES record lists a practice address at 1632 W Broadway Ave, Maryville, TN, 37801. Phone: (865) 984-1996. Providers update this record themselves, so call before visiting.
How can I verify Ethan Joel Dudley's license?
NPPES lists Tennessee license number 13412, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.