Boomer 06, Pllc

Physical Therapist



  
  10921 S Western Ave Ste 200, Oklahoma City
Oklahoma, 73170-6228

 405-996-0660   
Boomer 06, Pllc is a Physical Therapist in Oklahoma City, Oklahoma. It is located at 10921 S Western Ave Ste 200, Oklahoma City and it's customer support contact number is 405-996-0660. The authorized person of Boomer 06, Pllc is Mr. Ryan Edward Elassal who is Physical Therapist of this DME and his contact number is 405-996-0660. Boomer 06, Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Boomer 06, Pllc is (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT's assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient's strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.


DME Supplier Details:
Boomer 06, Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Boomer 06, Pllc
Type: Physical Therapist
Location:10921 S Western Ave Ste 200, Oklahoma City,
Oklahoma, 73170-6228
Phone:405-996-0660
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Mr. Ryan Edward Elassal
Position: Physical Therapist
Contact Number: 405-996-0660
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1871126383
NPI Enumeration Date: 13 Feb, 2020
NPI Last Update On: 22 Oct, 2024

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boomer 06, Pllc are as mentioned below.
SpecializationLicense NumberStateStatus
Physical Therapist Primary
Durable Medical Equipment & Medical Supplies Secondary
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
200934220AMedicaidOklahoma
Medicare Enrollment:
Boomer 06, Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
3870924723O20200511000968Boomer 06 PllcPART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE
3870924723O20240404003610Boomer 06 PllcDME SUPPLIER - INDEPENDENTLY-PRACTICING PHYSICAL THERAPIST
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 10921 S Western Ave Ste 200,
Oklahoma City, Oklahoma
Zip: 73170-6228
Phone Number: 405-676-5606
Fax Number: 405-676-5374
Patients can reach Boomer 06, Pllc at 10921 S Western Ave Ste 200, Oklahoma City, Oklahoma or can call on customer care at 405-996-0660.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.