Active NPI
Julia Louise O'Meara, PT, DPT
- Physical Therapist
- Clarksville, TN
National Provider Identifier
1083867964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8909
- Practice address
- 161 Hatcher LN
Clarksville, TN 37043-5987 - Phone
- (931) 542-2168
- Fax
- (931) 542-2206
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8909 | TN | Primary |
| Physical Therapist | 225100000X | 9239 | WA |
Addresses
Primary practice location
161 Hatcher LN
Clarksville, TN 37043-5987
Mailing address
161 Hatcher LN
Clarksville, TN 37043-5987
Phone (931) 542-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8909 | TN | MD | Nuclear Pharmacist |
| 9239 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1083867964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 HATCHER LN",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435987",
"telephone_number": "931-542-2168",
"fax_number": "931-542-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 HATCHER LN",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435987",
"telephone_number": "931-542-2168",
"fax_number": "931-542-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MEARA",
"first_name": "JULIA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8909",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "9239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.