Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEAR LAKE PHYSICAL AND SPORTS THERAPY PC
Active OrganizationBEAR LAKE PHYSICAL AND SPORTS THERAPY PC is a Physical Therapy Assistant organization located in RANDOLPH, Utah. NPI 1609085885 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RANDOLPH, UT
Registration Details
- NPI Number
- 1609085885
- Provider Type
- Organization
- NPI Issued
- May 22, 2007 (19.251081364989 yrs)
- Last Updated
- Aug 13, 2025
- License
-
351974-2401 (UT)
Practice Information
- Address
-
35 SOUTH MAINRANDOLPH, UT, 84064Browse UT providers · Browse ZIP 84064
- Phone
- 4357937000
- Fax
- 4359469777
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.