Proactive Sport and Spine PLC
NPI 1114260593 · Chiropractor · Broken Arrow, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proactive Sport and Spine PLC is a Chiropractor organization in Broken Arrow, OK (NPI 1114260593).
Provider details
- NPI number
- 1114260593
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Travis Dearmon, Chiropractor(918) 254-8700
- License
- 3846 (OK)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-03
- Last updated
- 2013-04-03
Frequently asked questions
- What is Proactive Sport and Spine PLC's NPI number?
- Proactive Sport and Spine PLC's National Provider Identifier (NPI) is 1114260593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Sport and Spine PLC?
- Proactive Sport and Spine PLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Proactive Sport and Spine PLC located?
- Proactive Sport and Spine PLC's practice location on file with NPPES is 4412 W Houston St, Broken Arrow, OK 74012-4645.
- What is Proactive Sport and Spine PLC's phone number?
- The practice phone number listed in the NPPES registry for Proactive Sport and Spine PLC is (918) 254-8700.
- Does Proactive Sport and Spine PLC accept Medicare?
- Proactive Sport and Spine PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Proactive Sport and Spine PLC?
- The authorized official listed on Proactive Sport and Spine PLC's NPPES record is Travis Dearmon, Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Sport and Spine PLC's NPI active?
- Yes — Proactive Sport and Spine PLC's NPI (1114260593) is active in the NPPES registry as of the last update on 2013-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.