Beau Proctor
NPI 1356092076ActiveIndividual· Physical Therapist, Orthopedic· Oklahoma City, OK
Physical Therapist, Orthopedic with Saints Medical Group, LLC, practicing in Oklahoma City, Oklahoma. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1356092076 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 13, 2022 |
| Last updated in NPPES | Jan 13, 2022 |
| Certified by provider | Jan 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | — | — |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (OK) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Saints Medical Group, LLCOklahoma City, OK · 435 clinicians
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