Active NPI
Blayne Bridge
- Physical Therapist
- Orem, UT
National Provider Identifier
1225947575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14292267-2401
- Practice address
- 527 W 400 N
Orem, UT 84057-1916 - Phone
- (801) 714-3366
- NPI assigned
- Sep 3, 2026
- Last updated
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14292267-2401 | Primary |
Addresses
Primary practice location
527 W 400 N
Orem, UT 84057-1916
Mailing address
93 E 425 N
Vineyard, UT 84059-6511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1225947575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 E 425 N",
"city": "VINEYARD",
"state": "UT",
"postal_code": "840596511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 W 400 N",
"city": "OREM",
"state": "UT",
"postal_code": "840571916",
"telephone_number": "801-714-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGE",
"first_name": "BLAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "14292267-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.