Michael David Bartholomew, DPT
Individual provider Active NPI Physical Therapist · Lindon, UT
NPI 1982803797 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1982803797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5286352-2401 (UT)
- Practice address
- 643 West 7000 North, Suite C
Lindon, UT 84042 - Phone
- (801) 796-1031
- Fax
- (801) 796-1038
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agility Physical Therapy and Sports | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5286352-2401 | UT | Yes |
Addresses
Primary practice location
643 West 7000 North, Suite C
Lindon, UT 84042
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907
Other providers in Lindon, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.