Active NPI
Steven Morris Blanthorn, P.T.
- Physical Therapist
- Provo, UT
National Provider Identifier
1699024927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 267130-2401
- Practice address
- 1750 N Wymount Terrace Dr
Byu Student Health Center
Provo, UT 84604-8600 - Phone
- (801) 422-9735
- NPI assigned
- Aug 31, 2012
- Last updated
- Aug 31, 2012
- 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 | 267130-2401 | UT | Primary |
Addresses
Primary practice location
1750 N Wymount Terrace Dr
Byu Student Health Center
Provo, UT 84604-8600
Mailing address
1750 N Wymount Terrace Dr
Byu Student Health Center
Provo, UT 84604-8600
Phone (801) 422-9735
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267130-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham Young University | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1699024927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 N WYMOUNT TERRACE DR",
"address_2": "BYU STUDENT HEALTH CENTER",
"city": "PROVO",
"state": "UT",
"postal_code": "846048600",
"telephone_number": "801-422-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 N WYMOUNT TERRACE DR",
"address_2": "BYU STUDENT HEALTH CENTER",
"city": "PROVO",
"state": "UT",
"postal_code": "846048600",
"telephone_number": "801-422-9735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANTHORN",
"first_name": "STEVEN",
"middle_name": "MORRIS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "267130-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.