RYAN EDWARD ELASSAL PT NPI 1417587676

NPI Information

  • NPI: 1417587676
  • Provider Name: RYAN EDWARD ELASSAL, PT
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Individual
  • Address: 7919 MID AMERICA BLVD STE 100
    OKLAHOMA CITY, OK
    ZIP 73135
  • Phone: (405) 736-0064

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NPI Details

Ryan Edward Elassal, PT is a durable medical equipment medical supplies in Oklahoma City, OK with 9 years of experience. The provider is 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. Ryan Edward Elassal, PT NPI is 1417587676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7919 MID AMERICA BLVD STE 100
OKLAHOMA CITY, OK
ZIP 73135-611
Phone: (405) 736-0064

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Therapy procedure for walking training, each 15 minutes (HCPCS:97116)
  • Training for self-care or home management, each 15 minutes (HCPCS:97535)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • Re-evaluation for physical therapy, typically 20 minutes (HCPCS:97164)

The enumeration date for this NPI number is 1/16/2020 and was last updated on 9/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist5329OKLAHOMANo
2332B00000XDurable Medical Equipment & Medical Supplies1-E-8553OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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