Individual provider Active NPI

Jared P Barnum, PT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1659485050
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6872 Issued in AZ
Practice address
6320A W Union Hills Dr
Suite 265
Glendale, AZ 85308-7177
Phone
(623) 374-2424
Fax
(623) 374-2619
NPI assigned
Aug 19, 2006
Last updated
Aug 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6872 AZ Primary

Addresses

Primary practice location

6320A W Union Hills Dr
Suite 265
Glendale, AZ 85308-7177

Mailing address

5527 W. Andrea Dr.
Phoenix, AZ 85083-2359
Phone (623) 670-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6872AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Past Accepting new patients
Apex Physical Therapy, LLC Physical Therapist Past Accepting new patients
Physical Therapy Complete PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1659485050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 W. ANDREA DR.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850832359",
            "telephone_number": "623-670-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320A W UNION HILLS DR",
            "address_2": "SUITE 265",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087177",
            "telephone_number": "623-374-2424",
            "fax_number": "623-374-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNUM",
        "first_name": "JARED",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.