Theresa Locke, P.T.
Individual provider Active NPI Physical Therapist · Angels Camp, CA
NPI 1295750792 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295750792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- OPT132160 (CA)
- Practice address
- 571 Stanislaus St
Suite F
Angels Camp, CA 95221-0637 - Phone
- (209) 736-0956
- Fax
- (209) 736-0958
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Theresa M Locke Physical Therapy Inc
Practice addresses (Care Compare)
571 Stanislaus Ave
Suite F
Angels Camp, CA 95222-9354
Phone (209) 736-0956
PO Box
637 571 Stanislaus Street Suite F
Angels Camp, CA 95221
PO Box
Suite 637
Angels Camp, CA 95221-0637
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.33 of 100
- Quality
- 81.91
- Improvement activities
- 40
- Cost
- 75.22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050511001063 | CA | Practitioner - Physical Therapist in Private Practice | 6800879529 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT132160 | CA | MD | Physical Therapist |
| 13216 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theresa M Locke Physical Therapy, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
571 Stanislaus Ave
Ste F
Angels Camp, CA 95222
Phone (209) 736-0956
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OPT132160 | CA | Yes |
Addresses
Primary practice location
571 Stanislaus St
Suite F
Angels Camp, CA 95221-0637
Mailing address
PO Box 637
Altaville, CA 95221-0637
Phone (209) 736-0956
Other providers in Angels Camp, CA
- Christopher James Krpan
- John Brennan Krpan
- Alexandra Kunesh
- Sara Labuga
- Sierra Lawrence
- Longs Drug Stores California LLC
- Everardo Lopez
- Jane S Lucas
- Susan Mary Lyneis-Sirias
- M a C T Health Board, Incorporated
All providers in Angels Camp, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.