Active NPI
Mitchell Orr, PT, DPT
- Physical Therapist
- SLC, UT
National Provider Identifier
1053922583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11868623-2401
- Practice address
- 1050 E South Temple
SLC, UT 84102-1507 - Phone
- (801) 350-4111
- NPI assigned
- Aug 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11868623-2401 | UT | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 11868623-8016 | UT |
Addresses
Primary practice location
1050 E South Temple
SLC, UT 84102-1507
Mailing address
2082 E 900 S
SLC, UT 84108-1302
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mitchorr12345@gmail.com | ||
| Direct Messaging Address | morr172938@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11868623-8016 | UT | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1053922583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2082 E 900 S",
"city": "SLC",
"state": "UT",
"postal_code": "841081302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E SOUTH TEMPLE",
"city": "SLC",
"state": "UT",
"postal_code": "841021507",
"telephone_number": "801-350-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "MITCHELL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-10",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11868623-2401",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "11868623-8016",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mitchorr12345@gmail.com",
"affiliation": "N",
"address_1": "1050 E South Temple",
"city": "Slc",
"state": "UT",
"country_code": "US",
"postal_code": "841021507",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "morr172938@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.