Ethan Mark Glade
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2025
- Practice address
- 6360 South 3000 East, Suite 320, Salt Lake City, UT 84121
- Practice phone
- Call (801) 944-3166
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Mountain West Endoscopy Center
Surgery Center - Medicare-Certified · Salt Lake City, Utah
Find Ethan Glade's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Ethan Mark Glade is a physical therapist in Salt Lake City, Utah
Ethan Glade practices at Mountain West Endoscopy Center in Salt Lake City, Utah.
Ethan Glade's NPI, 1699571406, was assigned on February 21, 2025. Ethan Glade holds Utah license 14197015-2401.
- NPI
- 1699571406NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3274058896
- NPI enumeration date
- February 21, 2025
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (801) 944-3166
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 28
- Medical school graduation
- 2024
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Ethan Mark Glade practices at Mountain West Endoscopy Center in Salt Lake City, Utah
Ethan Glade's primary practice is Mountain West Endoscopy Center, at 6360 South 3000 East, Suite 320, Salt Lake City, UT 84121. The practice phone is (801) 944-3166.
- Mountain West Endoscopy Center6360 South 3000 East, Suite 320, Salt Lake City, UT 84121Phone(801) 944-3166
Source: Dmand AI Affiliation Data
Ethan Mark Glade is affiliated with 1 site of care and 1 medical group
Ethan Glade's primary practice is Mountain West Endoscopy Center in Salt Lake City, Utah. The medical group on file is Registered Physical Therapists.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Ethan Mark Glade's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Ethan Glade practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Mountain West Endoscopy Center | Available with a free account |
Source: Dmand AI Technology Install Data
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Ethan Mark Glade is one of 1,441 physical therapists in Utah
Physical therapist is Ethan Glade's primary specialty in the NPI Registry, under taxonomy code 225100000X. Ethan Glade is licensed in Utah.
Specialties and state licenses
- Physical therapist, UtahPrimary
Physical therapists near Ethan Glade
Counts of physical therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Ethan Mark Glade's patients have a median age of 62
Across all payers, Dmand AI patient panel data puts Ethan Glade's median patient age at 62, with 45% women.
Ethan Glade's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 62
Patient panel by sex, all payers
- Women45%
- Men52%
Source: Dmand AI Patient Panel Data
How Ethan Mark Glade takes part in Medicare
Ethan Glade accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Ethan Mark Glade's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Ethan Mark Glade
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Ethan Mark Glade's NPI number?
Ethan Mark Glade's NPI number is 1699571406. It was assigned on February 21, 2025, and it is active in the NPI Registry.
What does Ethan Mark Glade specialize in?
Ethan Mark Glade is a physical therapist in Salt Lake City, Utah. The primary specialty in the NPI Registry is Physical Therapist (taxonomy code 225100000X).
Where does Ethan Mark Glade practice?
Ethan Glade practices at 6360 South 3000 East, Suite 320, Salt Lake City, UT 84121. Ethan Glade's primary practice is Mountain West Endoscopy Center in Salt Lake City, Utah.
What is Ethan Mark Glade's office phone number?
The practice phone on file for Ethan Glade is (801) 944-3166.
What is Ethan Mark Glade's medical license number?
Ethan Glade holds Utah license 14197015-2401.
What medical group is Ethan Mark Glade part of?
Ethan Glade is linked to Registered Physical Therapists.
Does Ethan Mark Glade accept Medicare?
Yes. CMS lists Ethan Glade as accepting Medicare assignment.
How long has Ethan Mark Glade been practicing?
Ethan Glade graduated from medical school in 2024, 2 years ago.
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