Physical Therapist
BOOMER 06, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1871126383 · enumerated 2020-02-13 · record updated 2024-10-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. RYAN ELASSAL, Physical Therapist · (405) 996-0660
Other names: THE MOBILE THERAPY GROUP
Addresses and phones
- Practice location 10921 S WESTERN AVE STE 200, OKLAHOMA CITY, OK, 73170-6228 (405) 996-0660 Google Maps Apple Maps OpenStreetMap
- Mailing address 10921 S WESTERN AVE STE 200, OKLAHOMA CITY, OK, 73170-6228 (405) 676-5606 Fax (405) 676-5374 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary
- Durable Medical Equipment & Medical Supplies 332B00000X
In this directory
Locations and evidence
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Practice location
OKLAHOMA CITY, OK, 731706228
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.