Jared Van Der Beek, P.T.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 13995 Issued in CA

Practice address

1801 Bush St Lowr Level
San Francisco, CA 94109-5239

Phone

(415) 763-5523

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centerimt Cherry Hill

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1548213028
  NPD (past) Authorized official
• Leger Therapy Services Inc.

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1659327666
  NPD (past)
• Regional Physical Therapy

  • Physical Therapist
  • Bloomfield, CT
  • NPI 1932151743
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1063519726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A WAINWRIGHT PL",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949415034",
            "telephone_number": "415-763-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST LOWR LEVEL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095239",
            "telephone_number": "415-763-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER BEEK",
        "first_name": "JARED",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA009772",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016150",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13995",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel Laurentius Van Bergen, D.M.D
• Alyssa Ray Van Boxmeer, LMFT
• Eve Van Buren, M.S., CCC-SLP
• Lia Van de Velde, LCSW
• River Van Den Berghe
• Case Van Der Burg
• Yvonne G Van Der Kloor
• Willemijn Hendrike Van Deursen, MD
• Layla Nohelia Van Doren, MD
• Natalia Van Doren, PHD

• Acupuncturist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.