Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bear Lake Physical and Sports Therapy PC

Organization Physical Therapist · NPI 1609085885

Bear Lake Physical and Sports Therapy PC is a Physical Therapist in Randolph, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

35 S Main
Randolph, UT 84064
Phone: (435) 793-7000
Fax: (435) 946-9777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 351974-2401 (UT)
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1609085885
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBear Lake Physical and Sports Therapy PC
Authorized official Ruthann Jarman — Director · (833) 946-2777
Other names Bear Lake Physical Therapy - Randolph
NPI enumeratedMay 22, 2007
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing addressPo Box 276, Garden City, UT 84028-0276