Healthcare Provider Details

I. General information

NPI: 1679486096
Provider Name (Legal Business Name): JULIE BOST PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE A THOMAS PT

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 LANGHORNE RD STE 205
LYNCHBURG VA
24501-1423
US

IV. Provider business mailing address

PO BOX 749391
ATLANTA GA
30374-9391
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-7600
  • Fax: 434-200-1294
Mailing address:
  • Phone: 434-200-7600
  • Fax: 434-200-1294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305213046
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: