BRIDGER PARK (NPI# 1063865699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063865699 |
| Entity Type | Individual |
| Full Name | BRIDGER PARK |
| Credential | DPT |
| Practice Address |
1034 North 500 West Provo UT 84604 |
| Practice Telephone | 8013571250 |
| Mailing Telephone | 8013571250 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3095297-8016 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1034 NORTH 500 WEST |
| City | PROVO |
| State | UT |
| Zip Code | 84604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559173 | Todd Glendon Call | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2005-12-16 |
| 1740567767 | Janet P Stewart | Nurse Practitioner | 1034 North 500 West, Provo, UT 84604-5443 | 2011-11-04 |
| 1447424114 | Rosemary Bearnson | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2008-04-14 |
| 1558571554 | Melinda Swenson Robbins | Pharmacist | 1034 North 500 West, Provo, UT 84605-0390 | 2007-05-22 |
| 1508952367 | Scott Douglas Unice | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-10-05 |
| 1477649457 | David G. Lind | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-10-05 |
| 1801982699 | Jayanti P Govindji | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-10-05 |
| 1033205513 | John B Zimmerman | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-10-04 |
| 1043305865 | David Groesbeck | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-10-04 |
| 1952497604 | Evan Dale Theobald | Pharmacist | 1034 North 500 West, Provo, UT 84604 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384624 | Orion Clayton Wilson | Physical Therapist | 524 W 300 N Ste 201, Provo, UT 84601-2669 | 2020-01-03 |
| 1376066779 | Lindsey Kyle Jones | Physical Therapist | 1157 N 300 W, Provo, UT 84604-6124 | 2017-07-18 |
| 1457880445 | Brett Mcwilliams | Physical Therapist | 3303 N University Ave, Provo, UT 84604-4438 | 2017-06-05 |
| 1992863906 | Howard Knudsen | Physical Therapist | 3585 N University Ave, Suite100, Provo, UT 84604-6601 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940670 | Austin Jay Nielsen | Physical Therapist | 155 W Canyon Crest Rd Ste 100, Alpine, UT 84004-2031 | 2019-09-04 |
| 1669934378 | Heidi Olsen Tidwell | Physical Therapist | 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 | 2019-04-02 |
| 1689148454 | Sargent Doil Barnett | Physical Therapist | 822 Turf Farm Rd Unit 3, Payson, UT 84651-5797 | 2019-01-15 |
| 1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
| 1902390123 | Andrea Marie Hendricks Harper | Physical Therapist | 98 N 1100 E Ste 402, American Fork, UT 84003-2951 | 2018-06-20 |
| 1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
| 1134636269 | Elevation Physical Therapy | Physical Therapist | 985 W Riverdale Rd Ste 2, Riverdale, UT 84405-5601 | 2018-01-10 |
| 1336652957 | Brian Lewis Wike I | Physical Therapist | 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | 2017-11-06 |
| 1538616230 | Michelle Smith | Physical Therapist | 1794 Olympic Pkwy, Suite 140, Park City, UT 84098-6387 | 2016-09-09 |
| 1558712455 | Tyler Landgren | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2016-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.