Individual provider Active NPI

Jared Beaver

  • Physical Therapy Clinic/Center
  • Santa Clarita, CA
National Provider Identifier
1649060070
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Practice address
23206 Lyons Ave Ste 105
Santa Clarita, CA 91321-2671
Phone
(661) 383-9828
NPI assigned
May 8, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

23206 Lyons Ave Ste 105
Santa Clarita, CA 91321-2671

Mailing address

25841 McBean Pkwy Unit 6
Valencia, CA 91355-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605002992 CA Practitioner - Physical Therapist in Private Practice 3678083086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level Physical Therapy and Athletic Performance PCGroup PAC ID 6507116852, 5 clinicians

Practice addresses (Care Compare)

17866 Sierra Hwy
Suite 101
Santa Clarita, CA 91351-1637
Phone (661) 347-9029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Physical Therapy and Athletic Performance, PC Physical Therapy CurrentSince May 27, 2025 Accepting new patients

Locations

23206 Lyons Ave
Ste 105
Santa Clarita, CA 91321
Phone (661) 288-0081

17866 Sierra Hwy
Ste 101
Santa Clarita, CA 91351
Phone (661) 343-9029

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1649060070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25841 MCBEAN PKWY UNIT 6",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE STE 105",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212671",
            "telephone_number": "661-383-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.