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
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Practice location Address checks out

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

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