DR. RAQUEL KEITHLEY (NPI# 1114375797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114375797 |
| Entity Type | Individual |
| Full Name | DR. RAQUEL KEITHLEY |
| Credential | P.T. D.P.T P.C.S |
| Practice Address |
400 N State of Franklin Rd Johnson City TN 37604-6035 |
| Mailing Address |
201 Sunset Meadows Ct Gray TN 37615-4298 |
| Practice Telephone | 4237912863 |
| Mailing Telephone | 4222379128 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070.006123 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 N STATE OF FRANKLIN RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389540 | Ian A Darling | Anesthesiology | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2005-07-14 |
| 1174141691 | Roman Brudnik | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-07-10 |
| 1811510993 | Susan Cronier | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-05-22 |
| 1033731823 | Krista Michelle Bonney | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-05-14 |
| 1235760422 | William James Brant | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-01-28 |
| 1346881588 | Johnathan Seth Greene | Registered Nurse | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-09-30 |
| 1184285629 | Juliette Rita-marie Marchant | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-25 |
| 1629638671 | Akshit Griwan | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-20 |
| 1891355053 | Lalith Vardhan Choudhary Namburu | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-19 |
| 1932768173 | Natasha Khan | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447585963 | Robbie L Centorani | Physical Therapist | 24 Cherry St, Johnson City, NY 13790-2615 | 2009-10-16 |
| 1962658526 | Elsie Gail Raione | Physical Therapist | 401 E Main St, Suite 5, Johnson City, TN 37601-4877 | 2008-08-14 |
| 1043419146 | Kathryn Sturek | Physical Therapist | 18 Broad St, Johnson City, NY 13790-2106 | 2007-07-17 |
| 1033274980 | Dawn Salzman | Physical Therapist | 18 Broad St, Johnson City, NY 13790-2106 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356889992 | Konstance Hines | Physical Therapist | 7827 Anna Calla Way, Bartlett, TN 38133-5809 | 2017-02-02 |
| 1659813905 | Kimberly W. Coffey | Physical Therapist | 8350 Mitchell Mill Rd, Ooltewah, TN 37363-6861 | 2016-11-16 |
| 1013461219 | Courtney Jones | Physical Therapist | 101 Glenway Ct, Nashville, TN 37221-3021 | 2016-08-05 |
| 1093129900 | Kimberly Sherman Lee | Physical Therapist | 1045 Spencer Rd, Rock Island, TN 38581 | 2014-06-18 |
| 1508270505 | Continuum Healthcare Staffing LLC | Physical Therapist | 819 Oaklawn Ct, Cookeville, TN 38501-2921 | 2014-06-17 |
| 1649523622 | Melinda Kay Giles | Physical Therapist | 686 Poplar Dr, Mount Juliet, TN 37122-4106 | 2012-10-16 |
| 1710234414 | Pamela Lee Woodside | Physical Therapist | 9720 Mountain Ash Ct, Brentwood, TN 37027-8955 | 2012-08-13 |
| 1306117130 | Linda C Burgess | Physical Therapist | 7370 Forrest Glenn Rd, Fairview, TN 37062-8311 | 2012-01-25 |
| 1497039374 | Lebanon Special School District | Physical Therapist | 507 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2011-10-10 |
| 1952576415 | Bethany Lambert | Physical Therapist | 1880 B General George Patton, #202, Nashville, TN 37067 | 2008-04-25 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.