Proform Athletics, LLC
NPI 1689909772 · Orthopedic Physical Therapist · Park City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proform Athletics, LLC is a Orthopedic Physical Therapist organization in Park City, UT (NPI 1689909772).
Provider details
- NPI number
- 1689909772
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Thomas Bezemer, Owner/Physical Therapist(435) 901-1139
- License
- 4945243-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-08
- Last updated
- 2009-10-08
Frequently asked questions
- What is Proform Athletics, LLC's NPI number?
- Proform Athletics, LLC's National Provider Identifier (NPI) is 1689909772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proform Athletics, LLC?
- Proform Athletics, LLC is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Proform Athletics, LLC located?
- Proform Athletics, LLC's practice location on file with NPPES is 7600 Glenwild Dr, Park City, UT 84098-5587.
- What is Proform Athletics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Proform Athletics, LLC is (435) 901-1139.
- Does Proform Athletics, LLC accept Medicare?
- Proform Athletics, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Proform Athletics, LLC?
- The authorized official listed on Proform Athletics, LLC's NPPES record is Thomas Bezemer, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proform Athletics, LLC's NPI active?
- Yes — Proform Athletics, LLC's NPI (1689909772) is active in the NPPES registry as of the last update on 2009-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.