Organization
GRAND SLAM REHABILITATION L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK PRENTICE (MANAGING MEMBER)
(405) 418-2200
Entity
Organization
Contact information
Practice address
6510 S WESTERN AVE, SUITE 400, OKLAHOMA CITY, OK 73139-1712
(405) 631-8888
(405) 631-9593
Mailing address
6510 S WESTERN AVE, SUITE 400, OKLAHOMA CITY, OK 73139-1712
(405) 631-8888
(405) 631-9593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
03/09/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up