BK Roots, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BK ROOTS, LLC

Practice address

150 Highland Dr
Park City, UT 84098-6139

Phone

(801) 867-4292

NPI assigned

Sep 2, 2026

Last updated

Sep 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Bricker

Title

Billing Specialist

Phone

(603) 353-9102

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1639088131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NH ROUTE 10",
            "city": "ORFORD",
            "state": "NH",
            "postal_code": "037774109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HIGHLAND DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986139",
            "telephone_number": "801-867-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK ROOTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "603-353-9102"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Bezemer, PT
• Poushali Bhattacharjee, M.D.
• Todd Andrew Bigatel, M.D.
• Amy Adair Bingham
• Rachel Bittenson, OTR/L
• Nathan Jeremy Black, DC
• Spencer Sonntag Blackham, DMD, MS
• Natalie Marie Blaskowski, PA-C
• Shari Bloom, PA-C
• Blue Sage Medical LLC

• Community/Behavioral Health Agency in Park City, UT
• Providers in Park City, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.