Proactive Provider Management, LLC
NPI 1023474152ActiveOrganization· Physical Therapist· Colorado Springs, CO
Physical Therapist in Colorado Springs, Colorado, registered in NPPES in January 2016. The authorized official on file is Scott O'Connor, Member.
Overview
| NPI | 1023474152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2016 |
| Last updated in NPPES | Jan 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Social Worker | 104100000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Nutritionist | 133N00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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