BEAR LAKE PHYSICAL AND SPORTS THERAPY PC (NPI# 1609085885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609085885 |
| Entity Type | Organization |
| Organization Name | BEAR LAKE PHYSICAL AND SPORTS THERAPY PC |
| Other Organization Name | BEAR LAKE PHYSICAL THERAPY - RANDOLPH |
| Practice Address |
35 South Main Randolph UT 84064 |
| Mailing Address |
Po Box 276 Garden City UT 84028-0276 |
| Practice Telephone | 4357937000 |
| Practice Fax Number | 4359469777 |
| Mailing Telephone | 4359462777 |
| Mailing Fax Number | 4359469777 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | MRS. RUTHANN M JARMAN (DIRECTOR) |
| Authorized Official Telephone | 4359462777 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAR LAKE PHYSICAL AND SPORTS THERAPY PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 351974-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RANDOLPH CITY LICENSE | 816 | 01 |
| Other Name | Type Code |
|---|---|
| Bear Lake Physical Therapy - Randolph | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992874440 | Bear Lake Physical and Sports Therapy PC | Physical Therapist | 710 N 4th Street, Montpelier, ID 83254-1086 | 2006-11-07 |
| 1669568481 | Bear Lake Physical and Sports Therapy PC | Physical Therapist | 95 West 50 South, Garden City, UT 84028-0276 | 2006-10-05 |
| Street Address |
35 SOUTH MAIN |
| City | RANDOLPH |
| State | UT |
| Zip Code | 84064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609994524 | County of Rich | Ambulance | 20 South Main Street, Randolph, UT 84064 | 2007-03-27 |
| 1205928546 | Mitchell Williams Larsen | Orthopaedic Surgery | 1055 N 500 W, Suite 121, Provo, UT 84064 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457252 | Jason Chang | Behavior Technician | 3 Boothby Cir, Randolph, MA 02368-5312 | 2020-11-06 |
| 1679172282 | Kelsey Ann Lovenberg | Behavior Technician | 7 Corwin St, Randolph, NJ 07869-3431 | 2020-10-23 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1760089643 | Stacie Koenigsberg | Speech-Language Pathologist | 22 Eagle Ct, Randolph, NJ 07869-1417 | 2020-10-05 |
| 1184238073 | Anthony Rodrigues | Behavior Technician | 75 N Main St # 628, Randolph, MA 02368-4605 | 2020-09-08 |
| 1487268520 | Amina Salim | Registered Nurse | 125 Warren St, Randolph, MA 02368-4017 | 2020-09-05 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1184238917 | Speakteasy | Marriage & Family Therapist | 72 Belcher St, Randolph, MA 02368-3712 | 2020-08-31 |
| 1447861232 | Christina Resz | Speech-Language Pathologist | 31 Sandra Ln, Randolph, NJ 07869-1509 | 2020-08-14 |
| Find all providers in RANDOLPH | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808930 | Abigail R Thomas | Physical Therapist | 26 S Main St Fl 3, Randolph, MA 02368-4821 | 2020-07-14 |
| 1962052548 | Tessa Lindner | Physical Therapist | 502 N High St, Randolph, WI 53956-1117 | 2019-09-16 |
| 1649721978 | Randi Karol | Physical Therapist | 8 Robin Dr, Randolph, NJ 07869-2112 | 2016-10-21 |
| 1104376680 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 390 State Route 10 Ste 202, Randolph, NJ 07869-2141 | 2016-10-10 |
| 1548500275 | Dominic Frank Olivo | Physical Therapist | 30 Old Brookside Rd, Randolph, NJ 07869-3604 | 2013-02-16 |
| 1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
| 1851675409 | Sandip H Vyas | Physical Therapist | 123 Chestnut Cir, Randolph, MA 02368-2957 | 2011-09-30 |
| 1639492507 | The Randolph Pain Relief Center PC | Physical Therapist | 588 Route 10 W, Randolph, NJ 07869-2056 | 2010-03-08 |
| 1407178312 | Carrie Ann Knowlton | Physical Therapist | 127 Morris Tpke, Randolph, NJ 07869-2931 | 2010-02-18 |
| 1194903468 | Heather A. Hanson | Physical Therapist | 40 Canton St, Randolph, MA 02368-2427 | 2008-02-08 |
| Find all providers in RANDOLPH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.