Individual
BARTLEY BRETT MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1055 N 500 W, SUITE 122, PROVO, UT 84604-3305
(801) 429-0610
(801) 429-0629
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 429-8000
(801) 429-8150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
51321992401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219420
ALTIUS
UT
01
—
64-00662
UNITED HEALTHCARE
UT
01
—
76205
PEHP
UT
01
—
827322
DMBA
UT
05
—
870281028000
—
UT
01
—
P00146137
PALMETTO
UT
Enumeration date
09/02/2006
Last updated
01/11/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us