Peter Coleman Grader, OTR/L - Occupational Therapist in Fort Worth, TX

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.

Contact Information

Peter Coleman Grader, OTR/L
4109 Westridge Ave,
Fort Worth, TX 76116-7403
(817) 813-9431
Not Available



Physician's Profile

Full NamePeter Coleman Grader
GenderMale
SpecialityOccupational Therapist
Location4109 Westridge Ave, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  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.
IdentifierTypeStateIssuer
1245005099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 102507 (Texas)Secondary
225X00000XOccupational 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 AddressPractice 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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