Individual provider Active NPI

Dawn Raye Keesee-Bos, OT/L

  • Occupational Therapist
  • Athens, TN
National Provider Identifier
1164954848
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2925 Issued in TN
Practice address
615 Decatur Pike
Athens, TN 37303-5505
Phone
(423) 745-7131
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2925 TN Primary

Addresses

Primary practice location

615 Decatur Pike
Athens, TN 37303-5505

Mailing address

615 Decatur Pike
Athens, TN 37303-5505
Phone (423) 745-7131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170726003850 TN Practitioner - Occupational Therapist in Private Practice 6204106040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group of Tennessee IncGroup PAC ID 9436377355, 20 clinicians

Practice addresses (Care Compare)

1400 Stuart Rd NE
Cleveland, TN 37312-5823
Phone (423) 800-0858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2925TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Feb 27, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 27, 2023 Accepting new patients
Health Providers of America, LLC CurrentSince Sep 1, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 27, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Feb 27, 2023 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

1400 Stuart Rd NE
Cleveland, TN 37312
Phone (423) 505-5998

2900 Westside Dr NW
Cleveland, TN 37312
Phone (423) 614-5424

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1164954848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373035505",
            "telephone_number": "423-745-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373035505",
            "telephone_number": "423-745-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESEE-BOS",
        "first_name": "DAWN",
        "middle_name": "RAYE",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "2925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.