Ricky P. Lockett, D.O, PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

OS6109 Issued in FL

Legal business name

RICKY P. LOCKETT, D.O, PA

Practice address

5800 49TH St N Ste S-207
St Petersburg, FL 33709-2146

Phone

(727) 896-8686

Fax

(727) 317-2716

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ricky P Lockett, D.O.NPI 1356410443

Title

Medical Director

Phone

(727) 896-8686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orthopedic Injury Management Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ricky P. Lockett, D.O, PA

  • Health Service Clinic/Center
  • Tampa, FL
  • NPI 1366081325
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricky P. Lockett, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Saint Petersburg, FL
  • NPI 1356410443
  Medicare reassignment Authorized official
• Jocelyn Lobrin Barlaan, ARNP

  • Primary Care Nurse Practitioner
  • Clearwater, FL
  • NPI 1083829949
  Medicare reassignment NPD
• Maria Roselyn Tecson Calungcaguin, CNP

  • Adult Health Nurse Practitioner
  • Lakeland, FL
  • NPI 1760973861
  Medicare reassignment NPD
• Geoffrey James Gibson, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Largo, FL
  • NPI 1750476255
  Medicare reassignment NPD
• Albert Matos, MD

  • General Practice Physician
  • Saint Petersburg, FL
  • NPI 1053354738
  NPD

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1023306206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565606",
            "telephone_number": "727-896-8686",
            "fax_number": "727-441-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE S-207",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-896-8686",
            "fax_number": "727-317-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY P. LOCKETT, D.O, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-896-8686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS6109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056170300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Injury Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic Injury Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tehphna Rachelle Richardson, MA, QMHP
• Donna M. Richey, P.T.
• Marie T Richfield, MD
• Michelle Richman, PT, DPT
• Jennifer Rebecca Rickman, CRNP
• Steven A Riczu, MSN, ARNP
• Libby Ridley, D.SC
• Michelle Riehl, CRNA
• Erin Nicole Rielly, AU.D CCC-A
• Jacqueline Rier, RD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.