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

Ethan Sam, DPT

Individual provider Physical Therapist · NPI 1487437901

Ethan Sam, DPT is a Physical Therapist in Private Practice in Sandy, Utah. Qualified in 2023, 3 years ago. Practices with Registered Physical Therapists Inc, a 63-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9844 S 1300 E Ste 200
Sandy, UT 84094-4689
Phone: (801) 571-0099
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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 8233885-2401 (UT)

Record details

NPI number1487437901
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address9844 S 1300 E Ste 300, Sandy, UT 84094-4693

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 Registered Physical Therapists Inc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Sandy