Individual provider Active NPI

Mitchell Story, PT, DPT, OCS

  • Physical Therapist
  • Farmington, UT
National Provider Identifier
1386189447
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10188156-8016 Issued in UT
Practice address
1179 W Park LN Ste 100
Farmington, UT 84025-3664
Phone
(801) 640-5284
Fax
(801) 640-5293
NPI assigned
Dec 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10188156-8016 UT Primary

Addresses

Primary practice location

1179 W Park LN Ste 100
Farmington, UT 84025-3664

Mailing address

PO Box 711397
Salt Lake City, UT 84171-1397
Phone (801) 942-2729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329001157 UT Practitioner - Physical Therapist in Private Practice 3476991217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

1950 E Fort Union Blvd
Suite 2
Salt Lake City, UT 84121-6894
Phone (801) 943-1041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10188156-8016UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Rehabilitation Health Network, LC Physical Therapist CurrentSince Mar 31, 2024 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Feb 8, 2024 Accepting new patients

Locations

1179 W Park Ln
Ste 100
Farmington, UT 84025
Phone (801) 447-9845

1188 W Sportsplex Dr
Ste 101
Kaysville, UT 84037
Phone (801) 547-1155

1188 W Sportsplex Dr
Kaysville, UT 84037
Phone (801) 547-1155

1950 E Fort Union Blvd
Ste 2
Salt Lake City, UT 84121
Phone (801) 943-1041

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1386189447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711397",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841711397",
            "telephone_number": "801-942-2729",
            "fax_number": "801-908-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 W PARK LN STE 100",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253664",
            "telephone_number": "801-640-5284",
            "fax_number": "801-640-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "MITCHELL",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "10188156-8016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.