Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Camille Porter

Individual provider Physical Therapist · NPI 1881920403

Camille Porter is a Physical Therapist in Private Practice in Providence, Utah. Qualified in 2009, 17 years ago. Practices with Gateway Physical Therapy and Sports Rehab, a 5-clinician group and accepts Medicare assignment. Licensed in Utah and Washington.

Years since qualifying
17
Licensed in
UT, WA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

169 N Gateway Dr Ste 160
Providence, UT 84332-9882
Phone: (435) 799-3111
Fax: (435) 799-3148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7362653-2401 (UT)
Physical Therapist Taxonomy 225100000X · Licence PT60117603 (WA)

Record details

NPI number1881920403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2009
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021
Mailing address169 N Gateway Dr Ste 160, Providence, UT 84332-9882

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Gateway Physical Therapy And Sports Rehab — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence