Joshua Keathley

Key facts

NPI

1003777467

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

8524 (TN)

Practice address

407 Laura Lee Dr
White Pine, TN 37890-3500

Phone

(865) 327-4100

NPI assigned

Nov 24, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 24, 2025.

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1003777467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 SUNBEAM LN",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377255252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LAURA LEE DR",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378903500",
            "telephone_number": "865-327-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATHLEY",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in White Pine, TN · Occupational Therapist in Tennessee