Julie Lynn Walton, COTA

Individual provider Active NPI Occupational Therapy Assistant · Washington, IN

NPI 1639484694 · NPPES record last updated Aug 15, 2010

Key facts

NPI
1639484694
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32000835A (IN)
Practice address
1764 Troy Rd
Washington, IN 47501-8210
Phone
(812) 254-2750
NPI assigned
Aug 15, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32000835AINMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Therapy, PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32000835A IN Yes

Addresses

Primary practice location

1764 Troy Rd
Washington, IN 47501-8210

Mailing address

14279 Mount Calvary Rd
Loogootee, IN 47553-4902
Phone (812) 295-3201

Other providers in Washington, IN

All providers in Washington, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.