Active NPI
Chantel Mitton
- Physical Therapist
- Spanish Fork, UT
National Provider Identifier
1184091472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9469602-2401
- Practice address
- 820 Expressway LN
Spanish Fork, UT 84660-1300 - Phone
- (801) 794-0333
- NPI assigned
- Aug 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9469602-2401 | UT | Primary |
Addresses
Primary practice location
820 Expressway LN
Spanish Fork, UT 84660-1300
Mailing address
3794 E 3600 N
Liberty, UT 84310-9506
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9469602-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1184091472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3794 E 3600 N",
"city": "LIBERTY",
"state": "UT",
"postal_code": "843109506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 EXPRESSWAY LN",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846601300",
"telephone_number": "801-794-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTON",
"first_name": "CHANTEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-21",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "9469602-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.