ETHAN MARK GLADE
NPI 1699571406
Physical Therapist in Salt Lake City, UT
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
Specialties & Licenses 2
- 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.
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.
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.
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.
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.