Clint Ctibor, is a medicare enrolled "Occupational Therapist" provider in Washington, Utah. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. He is a member of the group practice Aegis Group Practice Llc and his current practice location is
1525 E Ovation Pl, Washington, Utah. You can reach out to his office (for appointments etc.) via phone at
(479) 310-0330.
Clint Ctibor is licensed to practice in Utah (license number 5663962-4201) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093674053.
Healthcare Provider's Profile
| Full Name | Clint Ctibor |
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| Gender | Male |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 9 Years |
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| Location | 1525 E Ovation Pl, Washington, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Clint Ctibor graduated from medical school in 2017
NPI Data:
- NPI Number: 1093674053
- Provider Enumeration Date: 01/16/2026
- Last Update Date: 01/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 4183109481
- Enrollment ID: I20260403000439
Medical Identifiers
Medical identifiers for Clint Ctibor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093674053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 5663962-4201 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Aegis Group Practice Llc | 5193036432 | 399 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clint Ctibor allows following entities to bill medicare on his behalf.
| Provider Name | Aegis Group Practice LLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275304495 PECOS PAC ID: 5193036432 Enrollment ID: O20240617001174 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clint Ctibor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Clint Ctibor, 1037 E 3800 S, Washington, UT 84780-1382 Ph: (435) 229-6523 | Clint Ctibor, 1525 E Ovation Pl, Washington, UT 84780-2759 Ph: (479) 310-0330 |
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