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

Camille Porter

Individual provider Physical Therapist · NPI 1881920403

Camille Porter is a Physical Therapist in Private Practice in Providence, Utah. Qualified in 2009, 17 years ago. Practices with Gateway Physical Therapy and Sports Rehab, a 5-clinician group and accepts Medicare assignment. Licensed in Utah and Washington.

Years since qualifying
17
Licensed in
UT, WA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

169 N Gateway Dr Ste 160
Providence, UT 84332-9882
Phone: (435) 799-3111
Fax: (435) 799-3148
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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 7362653-2401 (UT)
Physical Therapist Taxonomy 225100000X · Licence PT60117603 (WA)

Record details

NPI number1881920403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2009
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Gateway Physical Therapy And Sports Rehab — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence