Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bear Lake Physical and Sports Therapy PC

Organization Physical Therapist · NPI 1609085885

Bear Lake Physical and Sports Therapy PC provides Physical Therapist services 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