Ethan Pewu
Physical Therapist in Bedford, Massachusetts
1922913417- Practice location
- 55 North RD Ste 100, Bedford, MA 01730-1073
- Phone
- 781-202-6736
- Fax
- —
- Last updated
- August 18, 2026
Ethan Pewu is a Physical Therapist based in Bedford, MA. Ethan Pewu practices in Bedford, MA. The NPI Number for Ethan Pewu is 1922913417 and holds a License No. PTL89624 (MA). The current practice location address for Ethan Pewu is 55 North RD Ste 100, Bedford, MA 01730-1073 and can be reached out via phone at 781-202-6736.
Provider Profile Details
- NPI Number
- 1922913417
- Provider Name
- Ethan Pewu
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 North RD Ste 100, Bedford, MA 01730-1073
- Phone Number
- 781-202-6736
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 18, 2026
- Last Update Date
- August 18, 2026
- Certification Date
- August 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 North RD Ste 100
Bedford, MA 01730-1073 - City
- Bedford
- State
- Massachusetts
- Zip
- 01730-1073
- Phone Number
- 781-202-6736
Provider Business Mailing Address Details
- Address
- 211 Nashua RD
North Billerica, MA 01862-3159 - City
- North Billerica
- State
- MA
- Zip
- 01862-3159
License Information
- License Number
- PTL89624
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ethan Pewu?
The NPI number of Ethan Pewu is 1922913417. It was assigned on August 18, 2026 and is currently active in the NPPES registry.
What is the specialty of Ethan Pewu?
Ethan Pewu is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number PTL89624.
Where does Ethan Pewu practice?
The practice location is 55 North RD Ste 100, Bedford, MA 01730-1073. The office can be reached at 781-202-6736 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922913417 directly on the NPPES registry website.