Provider Demographics
NPI:1104052323
Name:HULL, JULIE E (PT, DPT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:E
Last Name:HULL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:E
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8546 JAMES WILSON WAY
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-4900
Mailing Address - Country:US
Mailing Address - Phone:757-509-1725
Mailing Address - Fax:757-357-2018
Practice Address - Street 1:1801 S CHURCH ST STE 2
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:VA
Practice Address - Zip Code:23430-1858
Practice Address - Country:US
Practice Address - Phone:757-509-1725
Practice Address - Fax:757-542-3100
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205121225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA298498OtherBCBS (PHYSICAL THERAPY)
VA1104052323Medicaid
VA9833306OtherAETNA
VAP00726344OtherRAILROAD MEDICARE
VAC05954Medicare PIN
VAP00726344OtherRAILROAD MEDICARE
VAQ36212AMedicare PIN