Bear Lake Physical and Sports Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1256 Issued in ID

Legal business name

BEAR LAKE PHYSICAL AND SPORTS THERAPY PC

Practice address

710 N 4TH Street
Montpelier, ID 83254-1086

Phone

(208) 847-1342

Fax

(435) 744-6066

NPI assigned

Nov 7, 2006

Organization subpart

Yes

Parent organization

BEAR LAKE PHYSICAL AND SPORTS THERAPY PCAs reported in NPPES

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

Authorized official

Name

Ruthann Jarman

Title

Director

Phone

(833) 946-2777

Specialties & licenses 1

Addresses

Other names 1

• Bear Lake Physical Therapy - Montpelier Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bear Lake Physical and Sports Therapy PC

  • Physical Therapist
  • Garden City, UT
  • NPI 1669568481

  2264537687

  Same PAC ID

Tax ID family

Bear Lake Phys Sprts Thrpy3 organizations share this tax ID, including this one

Part of

Bear Lake Phys Sprts Thrpy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bear Lake Physical and Sports Therapy PC

  • Physical Therapist
  • Randolph, UT
  • NPI 1609085885
  NPD tax ID
• Bear Lake Physical and Sports Therapy PC

  • Physical Therapist
  • Garden City, UT
  • NPI 1669568481
  NPD tax ID

Practitioners 1

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

• Kam E Jarman, MPT

  • Physical Therapist
  • Garden City, UT
  • NPI 1710073523

  ID

  Medicare reassignment NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1992874440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "GARDEN CITY",
            "state": "UT",
            "postal_code": "840280276",
            "telephone_number": "435-946-2777",
            "fax_number": "435-946-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 4TH STREET",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541086",
            "telephone_number": "208-847-1342",
            "fax_number": "435-744-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR LAKE PHYSICAL AND SPORTS THERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAR LAKE PHYSICAL AND SPORTS THERAPY PC",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "JARMAN",
        "authorized_official_first_name": "RUTHANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "833-946-2777"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Lake Physical Therapy - Montpelier",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bear Lake County Memorial Hospital
• Bear Lake Dental Care, PLLC
• Bear Lake Drug LLC
• Bear Lake Memorial Hospital
• Bear Lake Memorial Hospital
• Richard Bergman, LSW
• Mark Berning, PHARMD
• Laurie Bingham
• BLMH Mental Health
• Larry David Bomsta, MD

• Physical Therapist in Montpelier, ID
• Providers in Montpelier, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.