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

Mitch Lillywhite, DPT

Individual provider Orthopedic Physical Therapist · NPI 1396291753

Mitch Lillywhite, DPT is a Physical Therapist in Private Practice in West Haven, Utah. Qualified in 2016, 10 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Licensed in
UT
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

4640 S 3500 W
West Haven, UT 84401-6521
Phone: (801) 689-0200
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 9739106-2401 (UT)

Record details

NPI number1396291753
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 26, 2016
Last updated in NPPESAugust 26, 2016
Mailing address4640 S 3500 W, West Haven, UT 84401-6521

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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