Boomer 06, Pllc

Durable Medical Equipment & Medical Supplies


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

 405-996-0660   Maps & Directions
Boomer 06, Pllc is a Durable Medical Equipment & Medical Supplies Clinic in Oklahoma City, Oklahoma. It is situated at 10921 S Western Ave Ste 200, Oklahoma City and its contact number is 405-996-0660. The authorized person of Boomer 06, Pllc is Mr. Ryan Edward Elassal who is Physical Therapist of the clinic and their contact number is 405-996-0660.
Boomer 06, Pllc Clinic A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Physical Therapy treatments have been proved effective in many problems, such as continuous back pain, neck pain, headache, digestive problems, balance difficulties, whiplash and other collision injuries, occupational and sports injuries. Some of the other diseases in which physio treatment is helpful are Sciatica, Scoliosis, Fibromyalgia, TMJ disorders etc.
Complete Clinic Profile:
Boomer 06, Pllc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Specialization: Durable Medical Equipment & Medical Supplies
Clinic Address: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 clinic are 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 for Boomer 06, Pllc Clinic 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 the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
200934220AMedicaidOklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Boomer 06, Pllc
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 to book an appointment on 405-996-0660. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.

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