Healthcare Provider Details

I. General information

NPI: 1861357675
Provider Name (Legal Business Name): MITCHELL ROBERT D'ANGINA PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BEYOND LIMITS PHYSICAL THERAPY 3943 E PONY EXPRESS PKWY #220
EAGLE MOUNTAIN UT
84005
US

IV. Provider business mailing address

BEYOND LIMITS PHYSICAL THERAPY 13358 S ROSECREST RD
HERRIMAN UT
84096-4501
US

V. Phone/Fax

Practice location:
  • Phone: 801-789-7333
  • Fax: 801-789-7444
Mailing address:
  • Phone: 801-302-7230
  • Fax: 801-601-8245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number14258670-2402
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: