Camille Porter
NPI 1881920403ActiveIndividual· Physical Therapist· Providence, UT
Physical Therapist with Gateway Physical Therapy and Sports Rehab, practicing in Providence, Utah. Medicare paid $21,583 for services to 44 patients in 2024.
Overview
| NPI | 1881920403 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 2, 2009 |
| Last updated in NPPES | Jan 28, 2021 |
| Certified by provider | Jan 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 7362653-2401 | UT |
| Physical Therapist | 225100000X | PT60117603 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 1,255 across 10 procedure codes |
| Paid by Medicare | $21,583 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Gateway Physical Therapy and Sports RehabProvidence, UT · 5 clinicians
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All 15 physical therapists in Providence · All physical therapists in Utah