Roosevelt Premier Therapy

LBN: Roosevelt Premier Therapy
Roosevelt Premier Therapy is an health care organization with primary practice located at 1120 N Eastern Ave Ste 108 , Moore OK 73160-5856. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Dietary & Nutritional Service Providers / Nutrition, Education, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Roosevelt Premier Therapy can be contacted via phone (405) 735-7162, or through Granderson, Selica via phone (601) 331-4463.

Contact Information

Primary practice address
1120 N Eastern Ave Ste 108 Moore OK 73160-5856
Phone: (405) 735-7162
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Granderson, Selica
Phone: (601) 331-4463

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1356188692
LBN Legal business name Roosevelt Premier Therapy
DBA Doing business as
Authorized official Granderson, Selica
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2024
Last updated Jul 15th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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