Theron Locke, DPT
Individual provider Active NPI Physical Therapist · Abbeville, AL
NPI 1003400235 · NPPES record last updated Feb 28, 2021
Key facts
- NPI
- 1003400235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 212 Dothan Rd
Abbeville, AL 36310-2800 - Phone
- (334) 585-2241
- NPI assigned
- Feb 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AL | Yes |
Addresses
Primary practice location
212 Dothan Rd
Abbeville, AL 36310-2800
Mailing address
601 Whatley Dr Apt H7007
Dothan, AL 36303-2475
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105105 | Medicaid | AL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CASAMBA | Direct |
Other providers in Abbeville, AL
- Sonya Lee Ketcham
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Larry W McLean
- Hayley Brooke Lewis
- Zorrya M Kelley
- Vanessa Holme Martz
- Larry Weston McLean
- Meredith McNeal
- Richard V. Meadows
All providers in Abbeville, AL · Physical Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.