Julie Anne Juracich, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7438 Issued in TN

Practice address

851 Professional Park Dr
Clarksville, TN 37040-5257

Phone

(931) 542-2168

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florence Therapy and WellnessGroup PAC ID 0547337321, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florence Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Florence, MT
  • NPI 1073760021
  Medicare reassignment Care Compare group NPD
• Advanced Therapy Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarksville, TN
  • NPI 1326269119
  NPD (past)
• Florence Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Florence, MT
  • NPI 1932258001
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1104547470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 PROFESSIONAL PARK DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 PROFESSIONAL PARK DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405257",
            "telephone_number": "931-542-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURACICH",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Rieger
• Amy Joyner
• JP Prime Health PLLC
• Theresa Marie Juan
• Aleia Judd, RPH, PHARMD, BCACP
• Kelley Marie Justice, D.M.D.
• K Bale DPT LLC
• Jatin K Kadakia, MD
• Rebecca Kaiser, OTR/L
• Kaleidoscope Behavior Analysis & Therapy, LLC

• Occupational Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.