MEDICARE: ROBYN YEARY PICKETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	17728	NC

General Provider Information

NPI Number	:	1952259624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN YEARY PICKETT

Provider Business Mailing Address
First Line	:	1402 WRENWOOD CT
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-9211
Country	:	US
Telephone Number	:	336-288-1047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 WRENWOOD CT
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-9211
Country	:	US
Telephone Number	:	336-288-1047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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