Proactive Sport and Spine PLC
NPI 1114260593ActiveOrganization· Chiropractor· Broken Arrow, OK
Chiropractor in Broken Arrow, Oklahoma, registered in NPPES in April 2013. The authorized official on file is Travis J. Dearmon, D.C., Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114260593 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2013 |
| Last updated in NPPES | Apr 3, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3846 | OK |
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 Part B Supplier - Clinic/Group Practice (OK) |
|---|
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