Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beau Proctor

Individual provider Orthopedic Physical Therapist · NPI 1356092076

Beau Proctor is a Physical Therapist in Private Practice in Oklahoma City, Oklahoma. Qualified in 2021, 5 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

519 NW 23rd St Ste 106
Oklahoma City, OK 73103-1509
Phone: (405) 613-6170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1356092076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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