Individual provider Active NPI

Iris Yvonne Locklear, LPTA

  • Physical Therapy Assistant
  • Fayetteville, NC
National Provider Identifier
1184626558
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
971 Issued in NC
Practice address
4101 Raeford Rd Unit 100
Fayetteville, NC 28304-4126
Phone
(910) 908-2222
Fax
(910) 829-0279
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 971 NC Primary

Addresses

Primary practice location

4101 Raeford Rd Unit 100
Fayetteville, NC 28304-4126

Mailing address

4101 Raeford Rd Unit 100
Fayetteville, NC 28304-4126
Phone (910) 908-2222

Other identifiers 1

IdentifierTypeStateIssuer
56814492OtherNCTRICARE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
971NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Health of North Carolina PA PastSince Sep 1, 1991 Accepting new patients
Physicians Total Rehab Inc. Physical Therapy Assistant Past Accepting new patients

Organizations & group practices 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1184626558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 RAEFORD RD UNIT 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044126",
            "telephone_number": "910-908-2222",
            "fax_number": "910-829-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 RAEFORD RD UNIT 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044126",
            "telephone_number": "910-908-2222",
            "fax_number": "910-829-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "IRIS",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "56814492",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.