Carter Blackham

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8661479-2401 Issued in UT

Practice address

13218 S Weatherford LN
Herriman, UT 84096-5001

Phone

(435) 669-9191

NPI assigned

Jan 10, 2014

Last updated

May 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00334

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.

• Fixit Physio - Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Herriman, UT
  • NPI 1225804487
  Authorized official Same address or phone
• Pure Dermatology LLC

  • Dermatology Physician
  • Salt Lake City, UT
  • NPI 1902668171
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1932521986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13218 S WEATHERFORD LN",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965001",
            "telephone_number": "435-669-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13218 S WEATHERFORD LN",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965001",
            "telephone_number": "435-669-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKHAM",
        "first_name": "CARTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "8661479-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Bentley, DPT, OCS
• Alexandra Valentine Betz
• Chloe Janice Bigelow
• Kelsey Lee Bills
• Angie Rena Blackett, RN, CPM, LDEM
• Heidi Blackham, CCC-SLP
• Jacob Matthew Blackham
• Blue Skies Counseling
• Jessiann Bodell
• Rachel Bonell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.