OrganizationActive
Bear Lake Physical and Sports Therapy PC
NPI 1609085885 · Physical Therapist · Randolph, UT
Provider details
- NPI number
- 1609085885
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Bear Lake Physical and Sports Therapy PC
- Organization subpart
- Yes
- Authorized official
- Ruthann Jarman, Director(833) 946-2777
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Practice location
35 South Main
Randolph, UT 84064
Phone: (435) 793-7000
Fax: (435) 946-9777
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 276
Garden City, UT 84028-0276
Other names (DBA / former)
- Doing business as
- Bear Lake Physical Therapy - Randolph
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.