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

Ian Ward Blatter, PT

Individual provider Physical Therapist · NPI 1801057567

Ian Ward Blatter, PT is a Physical Therapist in Private Practice in Provo, Utah. Qualified in 2008, 18 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
18
Licensed in
UT
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1055 N 500 W Ste 122 Bldg C
Provo, UT 84604
Phone: (801) 429-0610
Fax: (801) 429-0629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6976691-2401 (UT)

Record details

NPI number1801057567
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 24, 2008
Last updated in NPPESNovember 27, 2023
Certification dateJune 2, 2020
Mailing address1055 North 500 West Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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