Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Slam Rehabilitation LLC

Organization Physical Therapist · NPI 1073560942

Grand Slam Rehabilitation LLC is a Physical Therapist in Oklahoma City, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6510 S Western Ave Ste 400
Oklahoma City, OK 73139-1712
Phone: (405) 631-8888
Fax: (405) 631-9593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1073560942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Prentice — Managing Member · (405) 418-2200
NPI enumeratedMay 27, 2006
Last updated in NPPESMarch 9, 2012
Mailing address6510 S Western Ave, Suite 400, Oklahoma City, OK 73139-1712

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