Boomer 06, Pllc
Physical Therapist
10921 S Western Ave Ste 200, Oklahoma City
Oklahoma, 73170-6228
405-996-0660 Boomer 06, Pllc is an authorized DME supplier for medicare equipment and products.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.
| Specialization | License Number | State | Status | |
| 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.
| Identifier | Type | State | Issuer |
| 200934220A | Medicaid | Oklahoma | |
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 Name | Medicare Entity Type |
| 3870924723 | O20200511000968 | Boomer 06 Pllc | PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE |
| 3870924723 | O20240404003610 | Boomer 06 Pllc | DME 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.