BACK PAIN BOOT CAMP
NPI 1891963807
Chiropractor in Broken Arrow, OK

Q: What is Back Pain Boot Camp's NPI number?

The NPI number for Back Pain Boot Camp is 1891963807. It was assigned to this organization in the NPPES registry on February 12, 2008.

Q: What is Back Pain Boot Camp's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since February 12, 2008

920 S ELM PL, BROKEN ARROW, OK 74012(918) 258-2225(918) 251-6624 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Back Pain Boot Camp NPPES

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

BACK PAIN BOOT CAMP (NPI 1891963807) is a healthcare organization registered as a chiropractor in Broken Arrow, Oklahoma and active in the NPI registry since February 2008. The organization lists Darrick Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1891963807

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameBACK PAIN BOOT CAMP

Location Address920 S ELM PLBroken Arrow, OK 74012-5372

Mailing Address920 S Elm PlBroken Arrow, OK 74012-5372 · (918) 258-2225 · Fax (918) 251-6624

Phone(918) 258-2225

Fax(918) 251-6624

Organization SubpartNo

Authorized OfficialDarrick DavisOwner · (918) 258-2225

Enumeration DateFebruary 12, 2008

✔ NPI 1891963807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OK · 3203

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

920 S ELM PL, Broken Arrow, OK 74012

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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)

Back Pain Boot Camp 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 Back Pain Boot Camp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Darrick Davis, DC

Chiropractic

NPI 1447347752

920 S ELM PL
Broken Arrow, OK 74012

(918) 258-2225

✔ Accepts MedicareSame address

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 Back Pain Boot Camp's NPI number?

The NPI number for Back Pain Boot Camp is 1891963807. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Back Pain Boot Camp located?

Back Pain Boot Camp is located at 920 S Elm Pl, Broken Arrow, OK 74012. The listed phone number is (918) 258-2225.

What is Back Pain Boot Camp's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Back Pain Boot Camp enrolled in Medicare?

Yes. Back Pain Boot Camp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Back Pain Boot Camp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Back Pain Boot Camp. 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.

When was this NPI record last updated?

The NPPES record for Back Pain Boot Camp was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.