Healthcare Provider Details

I. General information

NPI: 1053231381
Provider Name (Legal Business Name): RIDGELINE MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1874 E SECRETARIAT CT
EAGLE MOUNTAIN UT
84005-4541
US

IV. Provider business mailing address

1874 E SECRETARIAT CT
EAGLE MOUNTAIN UT
84005-4541
US

V. Phone/Fax

Practice location:
  • Phone: 253-736-3472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RYAN FRANCIS BAKER
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 253-736-3472