ETHAN MARK GLADE
NPI 1699571406
Physical Therapist in Salt Lake City, UT

Active since February 21, 2025Accepts Medicare Assignment
6360 S 3000 E STE 125, SALT LAKE CITY, UT 84121(385) 900-5094 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Mark Glade NPPES

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

ETHAN MARK GLADE (NPI 1699571406) is an individual physical therapist in Salt Lake City, Utah, licensed in Utah (14197015-2401) and active in the NPI registry since February 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1699571406
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN MARK GLADE
Location Address6360 S 3000 E STE 125Salt Lake City, UT 84121-6933
Mailing Address6360 S 3000 E Ste 125Salt Lake City, UT 84121-6933 · (385) 900-5094
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
NPI 1699571406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in UT · 14197015-2401
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.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 14197015-2401 (UT)
6360 S 3000 E STE 125, Salt Lake City, UT 84121

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ethan Mark Glade is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274058896
PECOS Enrollment IDI20250416001623

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Physical Therapist
6360 S 3000 E STE 125
COTTONWOOD HEIGHTS, UT 84121
Physical Therapist
6360 S 3000 E STE 125
COTTONWOOD HEIGHTS, UT 84121
Physical Therapist
6360 S 3000 E STE 125
SALT LAKE CITY, UT 84121
Physical Therapist
6360 S 3000 E STE 125
COTTONWOOD HEIGHTS, UT 84121
Physical Therapist
6360 S 3000 E STE 125
COTTONWOOD HEIGHTS, UT 84121

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 Glade's NPI number?

The NPI number for Ethan Glade is 1699571406. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Where is Ethan Glade located?

Ethan Glade practices at 6360 S 3000 E Ste 125, Salt Lake City, UT 84121. The listed phone number is (385) 900-5094.

What is Ethan Glade's specialty?

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

Is Ethan Glade enrolled in Medicare?

Yes. Ethan Glade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ethan Glade accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Ethan Glade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Glade was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.