BEAU PROCTOR
NPI 1356092076
Physical Therapist - Orthopedic in Oklahoma City, OK

Active since January 13, 2022Accepts Medicare Assignment
519 NW 23RD ST STE 106, OKLAHOMA CITY, OK 73103(405) 613-6170 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beau Proctor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAU PROCTOR (NPI 1356092076) is an individual orthopedic provider in Oklahoma City, Oklahoma and active in the NPI registry since January 2022. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1356092076
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameBEAU PROCTOR
Location Address519 NW 23RD ST STE 106Oklahoma City, OK 73103-1509
Mailing Address6445 N Sterling DrOklahoma City, OK 73132-6804 · (405) 613-6170
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
NPI 1356092076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
519 NW 23RD ST STE 106, Oklahoma City, OK 73103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Beau Proctor is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274030861
PECOS Enrollment IDI20251009001061

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
519 NW 23RD ST STE 106
OKLAHOMA CITY, OK 73103
Chiropractor
519 NW 23RD ST STE 106
OKLAHOMA CITY, OK 73103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beau Proctor's NPI number?

The NPI number for Beau Proctor is 1356092076. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Beau Proctor located?

Beau Proctor practices at 519 NW 23rd St Ste 106, Oklahoma City, OK 73103. The listed phone number is (405) 613-6170.

What is Beau Proctor's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Beau Proctor enrolled in Medicare?

Yes. Beau Proctor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beau Proctor accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Beau Proctor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beau Proctor was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.