MITCHELL GRANT HILL (DPT) – Physical Therapist, NPI 1124910625

MITCHELL GRANT HILL (DPT) is a healthcare provider. based in North logan, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 14223239-2401 (UT). The NPI Number for MITCHELL GRANT HILL (DPT) is 1124910625

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
MITCHELL GRANT HILL (DPT)
NPI
1124910625
Phone
(435) 774-8557
Address
2310 N 400 E STE B
Enumeration Date
18 July 2025
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357600915
Graduation Year
2025 (1 year ago)
PAC ID
4183126105
Group Practice PAC ID
5991194672
Professional Enrollment ID
I20250908002581
Address ID
UT843411799NO2310X400X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,145 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for MITCHELL GRANT HILL (DPT)

  • 2310 N 400 E STE B

    NORTH LOGAN, UT 843411799

    Phone: (435) 774-8557

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250908002581IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84341)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991194672View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

Is MITCHELL GRANT HILL (DPT) listed with a National Provider Identifier?
Yes — MITCHELL GRANT HILL (DPT) has NPI 1124910625 on file in the registry.
Is there an active status for MITCHELL GRANT HILL (DPT)?
For scheduling context, MITCHELL GRANT HILL (DPT) is shown as active in the registry.
What expertise is attributed to MITCHELL GRANT HILL (DPT)?
MITCHELL GRANT HILL (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MITCHELL GRANT HILL (DPT)?
Travel planning: use North Logan, Utah as the reference point for MITCHELL GRANT HILL (DPT), then confirm.
Does MITCHELL GRANT HILL (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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