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

Clint Ctibor

Individual provider Occupational Therapist · NPI 1093674053

Clint Ctibor is an Occupational Therapist in Private Practice in Washington, Utah. Qualified in 2017, 9 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2026

Practice location Address checks out

1525 E Ovation Pl
Washington, UT 84780-2759
Phone: (479) 310-0330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5663962-4201 (UT)

Record details

NPI number1093674053
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 16, 2026
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address1037 E 3800 S, Washington, UT 84780-1382

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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