Julie Dallia Clark, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

714 Issued in SC

Practice address

1132 Rutherford Rd
Greenville, SC 29609-3927

Phone

(864) 250-0005

Fax

(864) 250-0028

NPI assigned

Dec 7, 2005

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

Other identifiers 1

Other names 1

• Miss Julie Louise Dallia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Meyer Center for Special Children

  • Pediatric Occupational Therapist
  • Greenville, SC
  • NPI 1821072612

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457336059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BERGAMOT CT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874854",
            "telephone_number": "864-322-9290",
            "fax_number": "864-250-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093927",
            "telephone_number": "864-250-0005",
            "fax_number": "864-250-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JULIE",
        "middle_name": "DALLIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0980",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DALLIA",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank Alexander Clark, MD
• Jennifer Morgan Clark, DNP, PMHNP
• John Clark
• Jon Albert Clark, C.R.N.A.
• Joseph Clark
• Kathleen Clark, D.O.
• Kim Evans Clark, CRNA
• Kimberly Clark, PHARMD
• Lynda Laura Clark, M.S.
• Mackenzie Bagwell Clark

• Pediatric Occupational Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.