Healthcare Provider Details

I. General information

NPI: 1962069419
Provider Name (Legal Business Name): JULIA THOMAS MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA PHEIFER

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7135 CHARLOTTE PIKE STE 102
NASHVILLE TN
37209-5017
US

IV. Provider business mailing address

PO BOX 269083 DEPT 1128
OKLAHOMA CITY OK
73126
US

V. Phone/Fax

Practice location:
  • Phone: 615-540-8334
  • Fax: 615-469-4321
Mailing address:
  • Phone: 615-540-8334
  • Fax: 615-469-4321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2893
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7325
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: