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PROFORM ATHLETICS, LLC
NPI 1689909772
Physical Therapist - Orthopedic in Park City, UT

Active since October 08, 2009
7600 GLENWILD DR, PARK CITY, UT 84098(435) 901-1139(435) 940-9127 Get Directions Write a Review

NPPES record last updated: October 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Proform Athletics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFORM ATHLETICS, LLC (NPI 1689909772) is a healthcare organization registered as an orthopedic in Park City, Utah and active in the NPI registry since October 2009. The organization lists Thomas Bezemer, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1689909772
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NamePROFORM ATHLETICS, LLC
Location Address7600 GLENWILD DRPark City, UT 84098-5587
Mailing Address7461 Brook Hollow Loop RdPark City, UT 84098-8262 · (435) 901-1139 · Fax (435) 940-9127
Phone(435) 901-1139
Fax(435) 940-9127
Organization SubpartNo
Authorized OfficialThomas BezemerOwner/physical Therapist · (435) 901-1139
Enumeration DateOctober 8, 2009
✔ NPI 1689909772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in UT · 4945243-2401
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
7600 GLENWILD DR, Park City, UT 84098
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS BEZEMER PT
Physical Therapist
7600 GLENWILD DR
PARK CITY, UT 84098
Summit County (435) 901-1139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proform Athletics, LLC's NPI number?

The NPI number for Proform Athletics, LLC is 1689909772. It was assigned to this organization in the NPPES registry on October 8, 2009.

Where is Proform Athletics, LLC located?

Proform Athletics, LLC is located at 7600 Glenwild Dr, Park City, UT 84098. The listed phone number is (435) 901-1139.

What is Proform Athletics, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

What insurance does Proform Athletics, LLC accept?

Health plans from University of Utah Health Plans list Proform Athletics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Proform Athletics, LLC was last updated on October 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.