Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julian Wade Ivy, OT

Individual provider Occupational Therapist · NPI 1225547516

Julian Wade Ivy, OT is an Occupational Therapist in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2017.

Licensed in
AR
In the registry since
2017
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

301 N Sidney Ave
Russellville, AR 72801-4383
Phone: (479) 890-5494
Fax: (479) 967-0069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (AR)

Record details

NPI number1225547516
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 29, 2017
Last updated in NPPESSeptember 29, 2017

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