NPI
Roosevelt Premier Therapy
NPI 1356188692
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2024-07-12
- Last updated
- 2024-07-15
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Specialties
- 103K00000XBehavior Analyst · Primary
- 101YM0800XCounselor, Mental Health
- 133NN1002XNutritionist, Nutrition, Education
- 221700000XArt Therapist
- 222Q00000XDevelopmental Therapist
- 225100000XPhysical Therapist
- 225800000XRecreation Therapist
- 225A00000XMusic Therapist
- 225X00000XOccupational Therapist
- 235Z00000XSpeech-Language Pathologist
Licenses
The registry row did not include a license.
Location
- Practice location
- 1120 N Eastern Ave Ste 108
- City
- Moore OK
- Postal code
- 73160-5856
- Phone
- (405) 735-7162
Organization contact
- Name
- Selica Granderson
- Title
- Director
- Phone
- (601) 331-4463
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Moore, OK. 1,269 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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