Boomer 06, PLLC
Boomer 06, PLLC is a Physical Therapist in Oklahoma City, Oklahoma. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10921 S Western Ave Ste 200Oklahoma City, OK 73170-6228
Phone: (405) 996-0660
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1871126383 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Elassal — Physical Therapist · (405) 996-0660 |
| Other names | The Mobile Therapy Group; The Mobile Therapy Group |
| NPI enumerated | February 13, 2020 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
| Mailing address | 10921 S Western Ave Ste 200, Oklahoma City, OK 73170-6228 |
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Bodyworx Physical Therapy, PLLC
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Margaret Ann Brakefield, PT
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Caili Renee Breashears, PT, DPT
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