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

Proform Athletics, LLC

Organization Orthopedic Physical Therapist · NPI 1689909772

Proform Athletics, LLC is an Orthopedic Physical Therapist in Park City, Utah. Licensed in Utah. Registered with an NPI since 2009.

Licensed in
UT
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7600 Glenwild Dr
Park City, UT 84098-5587
Phone: (435) 901-1139
Fax: (435) 940-9127
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 4945243-2401 (UT)

Record details

NPI number1689909772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Bezemer — Owner/Physical Therapist · (435) 901-1139
NPI enumeratedOctober 8, 2009
Last updated in NPPESOctober 8, 2009
Mailing address7461 Brook Hollow Loop Rd, Park City, UT 84098-8262

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