Nicholas Bronson
NPI 1053281022ActiveIndividual· Physical Therapist· Portland, OR
Physical Therapist with New Proactive LLC, practicing in Portland, Oregon. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1053281022 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 6, 2025 |
| Last updated in NPPES | Nov 6, 2025 |
| Certified by provider | Nov 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 65796 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OR) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- New Proactive LLCVancouver, WA · 52 clinicians
Other Physical Therapist providers in Portland
- 1750521985
- 1528719473
- 1629760756
- 1346396785
- 1588974984
- 1831128651
- 1053890756
- 1265911952
- 1306356159
- 1508376351
- 1629021290
- 1194907873