Camille Elizabeth Crockett, ATC
Sports Medicine (Physical Medicine & Rehabilitation) Physician · Provo, UT
Camille Elizabeth Crockett, ATC is a sports medicine (physical medicine & rehabilitation) physician with a practice address in Provo, Utah, and NPI 1396393393, issued on Sep 3, 2019. Check the license (Utah 11395933-4810, as entered in NPPES) on the Utah Medical Licensing Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Camille Elizabeth Crockett
- Credential
- ATC
- Primary taxonomy
- Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
- License number
- 11395933-4810 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1130 Smith Fieldhouse, Provo, UT 84602
- Phone
- (801) 422-2946
- Enumerated
- Sep 3, 2019
- Record last updated
- Sep 3, 2019 (not updated in 7 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 1130 Smith Fieldhouse
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jason Smith, MS, ATC, LATAthletic Trainer1073436200
- Jeffrey Wilding, ATCAthletic Trainer1518637511
Verify Camille Elizabeth Crockett in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 11395933-4810Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in Utah
There are 22 sports medicine (physical medicine & rehabilitation) physician records in Utah. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other sports medicine (physical medicine & rehabilitation) physician records in Utah
- Sean Anderson, D.O.Ogden, UT1063701217
- Mackenzie Booth, ATCProvo, UT1427572627
- Dalton Brady, MDSalt Lake City, UT1619554201
- Kimberly Casten, MD, MPHILSpanish Fork, UT1184073785
- Erin Fluhrer, DPTKaysville, UT1447213301
- Miranda Greer, ATC, LATProvo, UT1689184053
- Claire Gross, MDProvo, UT1144664681
- Kevin Hall, PTALogan, UT1790306884
- Chase Hansen, DPTSalt Lake City, UT1053887067
- Kelly Harlan, ATCOgden, UT1437916129
Common questions
What is Camille Elizabeth Crockett, ATC's NPI number?
Camille Elizabeth Crockett, ATC's National Provider Identifier (NPI) is 1396393393, issued on Sep 3, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Camille Elizabeth Crockett, ATC located?
The NPPES record lists a practice address at 1130 Smith Fieldhouse, Provo, UT, 84602. Phone: (801) 422-2946. Providers update this record themselves, so call before visiting.
How can I verify Camille Elizabeth Crockett, ATC's license?
NPPES lists Utah license number 11395933-4810, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.