1861357675 NPI number — MITCHELL ROBERT D'ANGINA PTA

Table of content: MITCHELL ROBERT D'ANGINA PTA (NPI 1861357675)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861357675 NPI number — MITCHELL ROBERT D'ANGINA PTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
D'ANGINA
Provider First Name:
MITCHELL
Provider Middle Name:
ROBERT
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PTA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861357675
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BEYOND LIMITS PHYSICAL THERAPY
Provider Second Line Business Mailing Address:
13358 S ROSECREST RD
Provider Business Mailing Address City Name:
HERRIMAN
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84096-4501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-302-7230
Provider Business Mailing Address Fax Number:
801-601-8245

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BEYOND LIMITS PHYSICAL THERAPY
Provider Second Line Business Practice Location Address:
3943 E PONY EXPRESS PKWY #220
Provider Business Practice Location Address City Name:
EAGLE MOUNTAIN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-789-7333
Provider Business Practice Location Address Fax Number:
801-789-7444
Provider Enumeration Date:
12/23/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225200000X , with the licence number:  14258670-2402 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)