Individual provider Active NPI

Jared Beukers, DPT

  • Physical Therapist
  • Bristol, NH
National Provider Identifier
1760150775
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4870 Issued in NH
Practice address
790 Lake St
Bristol, NH 03222-4548
Phone
(603) 744-0275
Fax
(603) 744-9378
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 4870 NH Primary

Addresses

Primary practice location

790 Lake St
Bristol, NH 03222-4548

Mailing address

790 Lake St
Bristol, NH 03222-4548
Phone (603) 744-0275

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
4870NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Regional Rehabilitation Services LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients

Locations

790 Lake St
Bristol, NH 03222
Phone (603) 238-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1760150775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LAKE ST",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "032224548",
            "telephone_number": "603-744-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 LAKE ST",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "032224548",
            "telephone_number": "603-744-0275",
            "fax_number": "603-744-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUKERS",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.