NPI
Roosevelt Premier Therapy
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2024-07-12
- Last updated
- 2024-07-15
Specialties
- 101YM0800XCounselor, Mental Health
- 103K00000XBehavior Analyst
- 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
- 6013314463
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. OIG's online search is the official check.
Nearby
Other NPIs in Moore, OK. 1,269 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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