Organization Active NPI

Locke Chiropractic and Rehabilitation Center, LLC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1255494191
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3457 Issued in NC
Legal business name
LOCKE CHIROPRACTIC AND REHABILITATION CENTER, LLC
Practice address
1495 Rymco Dr Ste 105
Winston Salem, NC 27103-2947
Phone
(336) 937-0442
Fax
(336) 390-3770
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Jonathan George LockeNPI 1366542516
Title
Ceo
Phone
(336) 409-9343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3457 NC Primary

Addresses

Primary practice location

1495 Rymco Dr Ste 105
Winston Salem, NC 27103-2947

Mailing address

1495 Rymco Dr Ste 105
Winston Salem, NC 27103-2947
Phone (336) 937-0442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070829000958 NC Part B Supplier - Clinic/Group Practice 3274626742 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Ridge, NC; Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

3650 N Patterson Ave
Ste D
Winston Salem, NC 27105
Phone (336) 937-0442

173 Jonestown Rd
Winston Salem, NC 27104
Phone (336) 727-8846

1495 Rymco Dr
Ste 105
Winston Salem, NC 27103
Phone (336) 937-0442

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1255494191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 RYMCO DR STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032947",
            "telephone_number": "336-937-0442",
            "fax_number": "336-390-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 RYMCO DR STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032947",
            "telephone_number": "336-937-0442",
            "fax_number": "336-390-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKE CHIROPRACTIC AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-409-9343",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.