Bear Lake Physical And Sports Therapy Pc is a
Physical Therapist based in Randolph, Utah. Bear Lake Physical And Sports Therapy Pc is licensed to practice in Utah (license number 351974-2401) and their current practice location is
35 South Main, Randolph, Utah. It can be reached at their office (for appointments etc.) via phone at
(435) 793-7000.
NPI number for Bear Lake Physical And Sports Therapy Pc is 1609085885 and their current mailing address is Po Box 276, Garden City, Utah. Bear Lake Physical And Sports Therapy Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609085885.
Healthcare Provider's Profile
| Full Name | Bear Lake Physical And Sports Therapy Pc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 35 South Main, Randolph, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609085885
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 08/13/2025
Medical Identifiers
Medical identifiers for Bear Lake Physical And Sports Therapy Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609085885 | NPI | - | NPPES |
| 816 | Other | UT | RANDOLPH CITY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 351974-2401 (Utah) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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. Bear Lake Physical And Sports Therapy Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Bear Lake Physical And Sports Therapy Pc Po Box 276, Garden City, UT 84028-0276 Ph: (833) 946-2777 | Bear Lake Physical And Sports Therapy Pc 35 South Main, Randolph, UT 84064 Ph: (435) 793-7000 |
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