Clint Ctibor

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5663962-4201 Issued in UT

Practice address

1525 E Ovation PL
Washington, UT 84780-2759

Phone

(479) 310-0330

NPI assigned

Jan 16, 2026

Last updated

Jan 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aegis Group Practice LLC

  • Physical Therapist
  • Murray, UT
  • NPI 1275304495
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1093674053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 E 3800 S",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801382",
            "telephone_number": "435-229-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E OVATION PL",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802759",
            "telephone_number": "479-310-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CTIBOR",
        "first_name": "CLINT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "5663962-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Choules, AU.D.
• Nathalie A Colin, PSYD
• Monica C. Cook, APRN
• David Hales Coombs, MFC
• Kamille Boston Crockett, FNP
• Emma Davis
• Lorna Davis, APRN, FNP
• Felicia Ann Day, LMT
• Paul Day
• Kyle Lee Decker, COTA

• Occupational Therapist in Washington, UT
• Providers in Washington, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.