Healthcare Provider Details

I. General information

NPI: 1114839305
Provider Name (Legal Business Name): BUMBLEBEE OCCUPATIONAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 AGNES RD STE 200
KNOXVILLE TN
37919-6306
US

IV. Provider business mailing address

116 AGNES RD STE 200
KNOXVILLE TN
37919-6306
US

V. Phone/Fax

Practice location:
  • Phone: 865-468-1055
  • Fax:
Mailing address:
  • Phone: 865-468-1055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JULIA DARIYCHUK
Title or Position: MANAGING MEMBER
Credential: OTR/L
Phone: 865-468-1055