Clint Ctibor
Individual provider Active NPI Occupational Therapist · Washington, UT
NPI 1093674053 · NPPES record last updated Jan 16, 2026
Key facts
- NPI
- 1093674053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5663962-4201 (UT)
- Practice address
- 1525 E Ovation PL
Washington, UT 84780-2759 - Phone
- (479) 310-0330
- NPI assigned
- Jan 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 24
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1525 E Ovation PL
Washington, UT 84780-2759
Phone (435) 699-4212
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260403000439 | UT | Practitioner - Occupational Therapist in Private Practice | 4183109481 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5663962-4201 | UT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 5663962-4201 | UT | Yes |
Addresses
Primary practice location
1525 E Ovation PL
Washington, UT 84780-2759
Mailing address
1037 E 3800 S
Washington, UT 84780-1382
Phone (435) 229-6523
Other providers in Washington, UT
- Nicole Choules
- Nathalie A Colin
- Monica C. Cook
- David Hales Coombs
- Kamille Boston Crockett
- Emma Davis
- Lorna Davis
- Felicia Ann Day
- Paul Day
- Kyle Lee Decker
All providers in Washington, UT · Occupational Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.