Peter Coleman Grader, OTR/L is a
Occupational Therapist physician based in Fort Worth, Texas. Peter Coleman Grader is licensed to practice in Texas (license number 102507) and his current practice location is 4109 Westridge Ave, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 813-9431.
NPI number for Peter Coleman Grader is 1245005099 and his current mailing address is 417 Dove Ln, Fort Worth, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245005099.
Physician's Profile
| Full Name | Peter Coleman Grader |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 4109 Westridge Ave, Fort Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245005099
- Provider Enumeration Date: 11/21/2023
- Last Update Date: 11/21/2023
Medical Identifiers
Medical identifiers for Peter Coleman Grader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245005099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 102507 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | 102507 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Coleman Grader is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peter Coleman Grader, OTR/L
417 Dove Ln,
Fort Worth, TX 76108-3793
Ph: (817) 223-7734 | Peter Coleman Grader, OTR/L
4109 Westridge Ave,
Fort Worth, TX 76116-7403
Ph: (817) 813-9431 |
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