Individual provider Active NPI

Jeffrey Joseph Beran, P.T.

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1669520235
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 7398 AZ Primary

Addresses

Primary practice location

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

Mailing address

15953 N Greenway Hayden Loop Ste a
Scottsdale, AZ 85260-1765
Phone (480) 767-2769

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
7398AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endurance Rehabilitation LLC Physical Therapist Past Accepting new patients
Endurance Rehabilitation LLC Physical Therapist Past Accepting new patients
Evolution Physical Therapy LLC Physical Therapist PastSince Nov 15, 2012 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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • 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.