ETHAN POWELL PT, DPT
NPI 1366226433
Physical Therapist in Salt Lake City, UT

Active since August 21, 2023
1515 S 1100 E, SALT LAKE CITY, UT 84105(801) 583-5692 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ethan Powell Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN POWELL PT, DPT (NPI 1366226433) is an individual physical therapist in Salt Lake City, Utah, licensed in Utah (13433896-2401) and active in the NPI registry since August 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1366226433
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN POWELLCredential: PT, DPT
Location Address1515 S 1100 ESalt Lake City, UT 84105-2424
Mailing Address1515 S 1100 ESalt Lake City, UT 84105-2424 · (801) 583-5692
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1366226433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in UT · 13433896-2401
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1515 S 1100 E, Salt Lake City, UT 84105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Powell Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123473956
PECOS Enrollment IDI20231013000369

Medicare Billing Reassignment

Medicare enrollment records show Ethan Powell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
1515 S 1100 E
Salt Lake City, UT 84105
  • Reassigned Medicare billing, Utah enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
576 services13 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
539 services13 patients

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1515 S 1100 E
SALT LAKE CITY, UT 84105
Massage Therapist
1515 S 1100 E
SALT LAKE CITY, UT 84105
Social Worker (Clinical)
1515 S 1100 E
SALT LAKE CITY, UT 84105
Physical Therapist
1515 S 1100 E
SALT LAKE CITY, UT 84105
Clinic/Center (Physical Therapy)
1515 S 1100 E
SALT LAKE CITY, UT 84105
Physical Therapist
1515 S 1100 E
SALT LAKE CITY, UT 84105
Massage Therapist
1515 S 1100 E
SALT LAKE CITY, UT 84105
Acupuncturist
1515 S 1100 E
SALT LAKE CITY, UT 84105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Powell's NPI number?

The NPI number for Ethan Powell is 1366226433. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Ethan Powell located?

Ethan Powell practices at 1515 S 1100 E, Salt Lake City, UT 84105. The listed phone number is (801) 583-5692.

What is Ethan Powell's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ethan Powell enrolled in Medicare?

Yes. Ethan Powell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Powell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Powell reassigns Medicare benefits to Pinnacle Performance II, Inc (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Powell was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.