Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Grand Slam Rehabilitation LLC

Organization Physical Therapist · NPI 1073560942

Grand Slam Rehabilitation LLC provides Physical Therapist services 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 Not confirmed with CMS for 14 years — call before visiting
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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