Provider Demographics
NPI:1104174770
Name:ROBERTSON, JULIA ERIN (DPT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ERIN
Last Name:ROBERTSON
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:709 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4138
Mailing Address - Country:US
Mailing Address - Phone:845-661-0051
Mailing Address - Fax:
Practice Address - Street 1:5651 FRIST BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2056
Practice Address - Country:US
Practice Address - Phone:615-885-0200
Practice Address - Fax:703-535-5494
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052075922251X0800X
TN141922251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic