Jeffrey Joseph Beran, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7398 Issued in AZ

Practice address

15953 N Greenway Hayden Loop Ste a
Scottsdale, AZ 85260-1765

Phone

(480) 767-2769

Fax

(480) 361-9734

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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.

• Evolution Physical Therapy LLC

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1932543014
  NPD (past) Authorized official
• Endurance Rehabilitation LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1194886556
  NPD (past)
• Endurance Rehabilitation LLC

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1497061774
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1669520235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15953 N GREENWAY HAYDEN LOOP STE A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601765",
            "telephone_number": "480-767-2769",
            "fax_number": "480-361-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15953 N GREENWAY HAYDEN LOOP STE A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601765",
            "telephone_number": "480-767-2769",
            "fax_number": "480-361-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERAN",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIP",
            "identifier": "1669520235",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "AZ0461720",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET NUMBER",
            "identifier": "2Z8898",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "454198977",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP OWCP NUMBER",
            "identifier": "610640800",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toby Sara Benton
• Cecilia L Benz, MD
• Ruth Benzar, M.D.
• Roberto P Benzo, MD
• Azizullah Ahmadallah Beran, MD
• Tara Okeeffe Beran, PT, DPT
• Joseph Christopher Berardi, M.D.
• Fleur Arden Berbos, D.D.S.
• Melissa Jean Bere, PA-C
• Magdalyne Nyambura Berengu

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.