Healthcare Provider Details

I. General information

NPI: 1730225616
Provider Name (Legal Business Name): JULIE RICHARD PT, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MEDICAL CENTER DR
NASHVILLE TN
37232-8285
US

IV. Provider business mailing address

7144 BIRCH BARK DR
NASHVILLE TN
37221-3406
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-4751
  • Fax:
Mailing address:
  • Phone: 615-646-6809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT0000001034
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT0000001034
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: