Jonathan Gage Beaber, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

7640 Sylvania Ave Ste E
Sylvania, OH 43560-9263

Phone

(419) 251-2061

NPI assigned

Jun 15, 2015

Last updated

May 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1083095103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SUPERIOR ST",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434301733",
            "telephone_number": "419-307-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVE STE E",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609263",
            "telephone_number": "419-251-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEABER",
        "first_name": "JONATHAN",
        "middle_name": "GAGE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Bates, OTD, OTR/L
• Barbara Bauer
• Marge Baum
• Jordanne Baumgartner
• Ellen Lee Baxter, D.O.
• Sara Elizabeth Bean
• Rebecca Beck
• Melanie C Beham, RD
• Susan Behnfeldt, M.ED.CCC-SLP
• Grace Carol Bell, PH.D.

• Athletic Trainer in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.