THE MOBILE THERAPY GROUP
NPI 1871126383
Physical Therapist in Oklahoma City, OK

Active since February 13, 2020
10921 S WESTERN AVE STE 200, OKLAHOMA CITY, OK 73170(405) 996-0660 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2024, Feb 14, 2020 (2 updates tracked since 2020).

About The Mobile Therapy Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MOBILE THERAPY GROUP (NPI 1871126383) is a healthcare organization registered as a physical therapist in Oklahoma City, Oklahoma and active in the NPI registry since February 2020. The organization lists Ryan Edward Elassal, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1871126383
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameBOOMER 06, PLLC
Location Address10921 S WESTERN AVE STE 200Oklahoma City, OK 73170-6228
Mailing Address10921 S Western Ave Ste 200Oklahoma City, OK 73170-6228 · (405) 676-5606 · Fax (405) 676-5374
Organization SubpartNo
Authorized OfficialRyan Edward ElassalPhysical Therapist · (405) 996-0660
Enumeration DateFebruary 13, 2020
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1871126383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
10921 S WESTERN AVE STE 200, Oklahoma City, OK 73170

Other Names 1

Doing Business AsThe Mobile Therapy Group

Other Identifiers 1

Medicaid200934220AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Mobile Therapy Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to The Mobile Therapy Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1164824017
10921 S WESTERN AVE STE 200
Oklahoma City, OK 73170
(405) 676-5606
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1417587676
7919 MID AMERICA BLVD STE 100
Oklahoma City, OK 73135
(405) 736-0064
✔ Accepts Medicare6.9 mi
Physical Therapist in Private Practice
NPI 1306201348
5915 W MEMORIAL RD STE 210
Oklahoma City, OK 73142
(405) 773-6601
✔ Accepts Medicare18 mi
Physical Therapist in Private Practice
NPI 1881045318
1200 N PECAN
Altus, OK 73521
(580) 379-5820
✔ Accepts Medicare113 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boomer 06, PLLC's NPI number?

The NPI number for Boomer 06, PLLC is 1871126383. It was assigned to this organization in the NPPES registry on February 13, 2020. The provider is doing business as The Mobile Therapy Group.

Where is Boomer 06, PLLC located?

Boomer 06, PLLC is located at 10921 S Western Ave Ste 200, Oklahoma City, OK 73170. The listed phone number is (405) 996-0660.

What is Boomer 06, PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Boomer 06, PLLC enrolled in Medicare?

Yes. Boomer 06, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boomer 06, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Boomer 06, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boomer 06, PLLC was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.