Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beau Haven, PT, DPT

Individual provider Physical Therapist · NPI 1083193759

Beau Haven, PT, DPT is a Physical Therapist in Private Practice in Henderson, Nevada. Qualified in 2018, 8 years ago. Practices with Dignity Select Nevada LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
8
Licensed in
NV
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2904 W Horizon Ridge Pkwy Ste 121
Henderson, NV 89052-5016
Phone: (702) 897-7331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3822 (NV)

Record details

NPI number1083193759
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address379 Lander Dr, Henderson, NV 89074-1308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Dignity Select Nevada Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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