Active NPI
Alexandria Keathley, OTR/L
- Occupational Therapist
- Memphis, TN
National Provider Identifier
1215659552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7392
- Practice address
- 5100 Sanderlin Ave Ste 1600
Memphis, TN 38117-4320 - Phone
- (901) 677-1090
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7392 | TN | Primary |
Addresses
Primary practice location
5100 Sanderlin Ave Ste 1600
Memphis, TN 38117-4320
Mailing address
5100 Sanderlin Ave Ste 1600
Memphis, TN 38117-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1215659552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 SANDERLIN AVE STE 1600",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 SANDERLIN AVE STE 1600",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174320",
"telephone_number": "901-677-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATHLEY",
"first_name": "ALEXANDRIA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "7392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.