Shaterica Grace Roberson
Occupational Therapist in Dallas, TX. Individual provider (NPI-1).
NPI number1497330757
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1497330757
- Entity type
- Individual (NPI-1)
- Name
- Shaterica Grace Roberson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2021
- Certification date
- Feb 24, 2021
- Last updated
- Mar 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
2535 Lone Star DrDallas, TX 75212-6313
Phone 318-737-6167
Mailing address
2535 Lone Star DrDallas, TX 75212-6313
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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