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

Mark Frasco

Individual provider Physical Therapist · NPI 1154923464

Mark Frasco is a Physical Therapist in Private Practice in West Valley City, Utah. Qualified in 2019, 7 years ago. Practices with Ipta Clinical, LLC, a 126-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4785 W 4100 S
West Valley City, UT 84120-4959
Phone: (801) 955-0500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11405580-2401 (UT)

Record details

NPI number1154923464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020
Mailing address4785 W 4100 S, West Valley City, UT 84120-4959

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ipta Clinical, Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Valley City