Marlin M Forsyth

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MARLIN M FORSYTH

Doing business as

Bountiful Physical Therapy-Sports Medicine

Practice address

425 Medical Dr
Suite 104
Bountiful, UT 84010-4945

Phone

(801) 292-5011

Fax

(801) 292-8222

NPI assigned

May 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marlin M Forsyth, P.T.

Title

Owner

Phone

(801) 292-5011

Specialties & licenses 1

Addresses

Other names 1

• Bountiful Physical Therapy-Sports Medicine Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Perry, DPT

  • Physical Therapist
  • Bountiful, UT
  • NPI 1447740105
  NPD (past)
• Loni Spencer Scott, DPT

  • Physical Therapist
  • Hill Afb, UT
  • NPI 1033178678
  NPD (past)
• Ashley Anne Silva, P.T.

  • Physical Therapist
  • Bountiful, UT
  • NPI 1447345897
  NPD (past)
• Jennifer D Marland, PT, PA-C

  • Physician Assistant
  • Missoula, MT
  • NPI 1497837413

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1366653230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR",
            "address_2": "SUITE 104",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104945",
            "telephone_number": "801-292-5011",
            "fax_number": "801-292-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DR",
            "address_2": "SUITE 104",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104945",
            "telephone_number": "801-292-5011",
            "fax_number": "801-292-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLIN M FORSYTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FORSYTH",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-292-5011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bountiful Physical Therapy-Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Mansell
• Elizabeth Mantanona
• Todd Reece Manwaring, MSW, LCSW
• Brianda Marin
• Mark H. Blaisdell DDS, PC
• Khilali Marquez
• Christiana Loukia Martakou
• Martha a. Keil LCSW PC
• Kristin Kay Martin
• Christopher Chad Martineau, PAC

• Physical Therapist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.