Bear Lake Physical Therapy - Randolph is a
Physical Therapist based in Randolph, Utah. Bear Lake Physical Therapy - Randolph 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 Therapy - Randolph is 1609085885 and their current mailing address is Po Box 276, Garden City, Utah. Bear Lake Physical Therapy - Randolph
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 Therapy - Randolph |
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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: 11/21/2007
Medical Identifiers
Medical identifiers for Bear Lake Physical Therapy - Randolph 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 |
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 Therapy - Randolph 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 Therapy - Randolph Po Box 276, Garden City, UT 84028-0276 Ph: (435) 946-2777 | Bear Lake Physical Therapy - Randolph 35 South Main, Randolph, UT 84064 Ph: (435) 793-7000 |
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