PROACTIV PHYSICAL THERAPY
NPI 1700424942
Clinic/Center - Physical Therapy in Ottawa, OH
About Proactiv Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROACTIV PHYSICAL THERAPY (NPI 1700424942) is a healthcare organization registered as a physical therapy in Ottawa, Ohio and active in the NPI registry since December 2019. The organization lists Matthew Recker, Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Proactiv Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Proactiv Physical Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Proactiv Physical Therapy's NPI number?
The NPI number for Proactiv Physical Therapy is 1700424942. It was assigned to this organization in the NPPES registry on December 18, 2019.
Where is Proactiv Physical Therapy located?
Proactiv Physical Therapy is located at 8124 Road M, Ottawa, OH 45875. The listed phone number is (419) 969-4294.
What is Proactiv Physical Therapy's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Proactiv Physical Therapy enrolled in Medicare?
Yes. Proactiv Physical Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proactiv Physical Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Proactiv Physical Therapy. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Proactiv Physical Therapy accept?
Health plans from Anthem Blue Cross and Blue Shield list Proactiv Physical Therapy 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 Proactiv Physical Therapy was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Proactiv Physical Therapy · NPI 1700424942
Physical Therapy organization in Ottawa, Ohio. Organization record, active in the CMS NPPES registry since December 18, 2019.
## Identity
- **NPI:** 1700424942 (Entity type: Organization)
- **Enumerated:** December 18, 2019
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Matthew Recker, PHYSICAL THERAPIST
## Practice location
- **Address:** 8124 ROAD M, Ottawa, OH 45875-9544
- **Phone:** (419) 969-4294
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1700424942) · Data from the CMS NPPES public registry.