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

Mr. Mitchell Robert Gauthier, PT

Individual provider Physical Therapist · NPI 1376585760

Mr. Mitchell Robert Gauthier, PT is a Physical Therapist in Private Practice in Bedford, Texas. Qualified in 1997, 29 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group and accepts Medicare assignment. Licensed in Connecticut and Texas.

Years since qualifying
29
Licensed in
CT, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2419 Hwy 121
Bedford, TX 76021
Phone: (817) 540-4477
Fax: (817) 540-5633
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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 1209690 (TX)
Physical Therapist Taxonomy 225100000X · Licence 006043 (CT)

Record details

NPI number1376585760
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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