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

Ethan Powell, PT, DPT

Individual provider Physical Therapist · NPI 1366226433

Ethan Powell, PT, DPT is a Physical Therapist in Private Practice in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Pinnacle Performance II Inc, a 2-clinician group. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1515 S 1100 E
Salt Lake City, UT 84105-2424
Phone: (801) 583-5692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13433896-2401 (UT)

Record details

NPI number1366226433
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pinnacle Performance Ii Inc — 2 clinicians
Accepts Medicare assignment Not indicated

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