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

Ethan Andrew Crocker, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1003531336

Ethan Andrew Crocker, DPT is a Physical Medicine & Rehabilitation Physician in Austin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
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

1000 1st Dr NW
Austin, MN 55912-2941
Phone: (507) 433-8758
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 12793 (MN)

Record details

NPI number1003531336
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022