Active NPI
Julia Pervola
- Occupational Therapist
- Tazewell, VA
National Provider Identifier
1366898447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119006362
- Practice address
- 982 Ben Bolt Ave
Tazewell, VA 24651-9706 - Phone
- (276) 988-5946
- Fax
- (276) 988-5975
- NPI assigned
- May 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119006362 | VA | Primary |
Addresses
Primary practice location
982 Ben Bolt Ave
Tazewell, VA 24651-9706
Mailing address
982 Ben Bolt Ave
Tazewell, VA 24651-9706
Phone (276) 988-5946
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 |
|---|---|---|---|
| 0119006362 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1366898447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 BEN BOLT AVE",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246519706",
"telephone_number": "276-988-5946",
"fax_number": "276-988-5975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 BEN BOLT AVE",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246519706",
"telephone_number": "276-988-5946",
"fax_number": "276-988-5975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERVOLA",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119006362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tazewell, VA
- Haleigh Parsons, OT
- Sachin Patel, PA-C
- Sheila S. Patel, MD
- Peak Development and Rehab Therapy, LLC
- Rebekah P Peery, NURSE PRACTITIONER
- Jacqueline Eugenia Phillips, MASTER'S DEGREE
- Quest Diagnostics Clinical Laboratories Inc
- Mannachanallur Ramakrishnan, MD
- Vijay Ramakrishnan, M.D.
- Robert S Rambo, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.