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PEORIA MEDICAL LLC
NPI 1396930277
Chiropractor - Rehabilitation in Tulsa, OK

Active since September 13, 2007
3345 S HARVARD AVE, STE #101, TULSA, OK 74135(918) 743-3737(918) 743-8383 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peoria Medical Llc NPPES

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

PEORIA MEDICAL LLC (NPI 1396930277) is a healthcare organization registered as a rehabilitation in Tulsa, Oklahoma and active in the NPI registry since September 2007. The organization lists Sean Riley, Owner, as its authorized official.

NPPES Registry Identity

NPI1396930277
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NamePEORIA MEDICAL LLC
Location Address3345 S HARVARD AVE, STE #101Tulsa, OK 74135-1812
Mailing Address3345 S Harvard Ave, Ste #101Tulsa, OK 74135-1812 · (918) 743-3737 · Fax (918) 743-8383
Phone(918) 743-3737
Fax(918) 743-8383
Organization SubpartNo
Authorized OfficialSean RileyOwner · (918) 743-3737
Enumeration DateSeptember 13, 2007
✔ NPI 1396930277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in OK · 3542
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
3345 S HARVARD AVE, Tulsa, OK 74135
Open in Google Maps ↗

Other Identifiers 1

Other1992897920OK · Npi

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peoria Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Peoria Medical LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Etienne Henriot, D.C.
Chiropractic
NPI 1235901042
3345 S HARVARD AVE STE 101
Tulsa, OK 74135
(918) 743-3737
✔ Accepts MedicareSame address
Sean Riley, D.C.
Chiropractic
NPI 1992897920
3345 S HARVARD AVE SUITE #101
Tulsa, OK 74135
(918) 743-3737
✔ Accepts MedicareSame address
Sidney Shibley, DC
Chiropractic
NPI 1417752387
3345 S HARVARD AVE STE 101
Tulsa, OK 74135
(918) 743-3737
✔ Accepts MedicareSame address
Joshan George, DC
Chiropractic
NPI 1730650565
6630 E 121ST ST SUITE 107
Bixby, OK 74008
(586) 354-8458
8.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peoria Medical LLC's NPI number?

The NPI number for Peoria Medical LLC is 1396930277. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Peoria Medical LLC located?

Peoria Medical LLC is located at 3345 S Harvard Ave Ste #101, Tulsa, OK 74135. The listed phone number is (918) 743-3737.

What is Peoria Medical LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Peoria Medical LLC enrolled in Medicare?

Yes. Peoria Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peoria Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Peoria Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peoria Medical LLC was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.