Individual provider Active NPI

Ricky P. Lockett, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • St Petersburg, FL
National Provider Identifier
1356410443
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS6109 Issued in FL
Practice address
5800 49TH St N Ste S-207
Saint Petersburg, FL 33709-2146
Phone
(727) 896-8686
Fax
(727) 317-2716
NPI assigned
Nov 6, 2006
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS6109 FL Primary
Family Medicine Physician 207Q00000X OS6109 FL
Specialist 174400000X 59-3207217 FL

Addresses

Primary practice location

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

Mailing address

PO Box 2788
Pinellas Park, FL 33780-2788
Phone (727) 896-8686

Other practice location 1

6702 W Linebaugh Ave
Tampa, FL 33625-4953
Phone (813) 450-1792

Other identifiers 3

IdentifierTypeStateIssuer
596170300MedicaidFL
80494OtherFLBC/BS PROVIDER ID
OS 6109OtherFLLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111004000269 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8527230143 Reassigns benefits to 3 organizations
I20250313000263 NY Practitioner - Physical Medicine and Rehabilitation 8527230143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians
Physicians Specialties LLCGroup PAC ID 1759748981, 3 clinicians

Practice addresses (Care Compare)

1601 -1 N Main St
Unit 3159
Jacksonville, FL 32206-7707
Phone (860) 335-5064

5800 49TH St N
St Petersburg, FL 33709-2146
Phone (727) 896-8686

6702 W Linebaugh Ave
Tampa, FL 33625-4953
Phone (813) 450-1792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Kel Healthcare Medical Services PC CurrentSince Feb 20, 2025 Accepting new patients
Physicians Specialties, LLC Family Medicine CurrentSince Mar 6, 2025 Accepting new patients
Sciometrix Inc CurrentSince Feb 1, 2023 Accepting new patients
Duke Diagnostics Inc CurrentSince Sep 1, 2024 Accepting new patients
NTCF LLC Past Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients
Millennium Medical Inc Family Medicine Past Accepting new patients
Ricky P. Lockett, D.O, PA Past Accepting new patients
Cardiothoracic Surgery of Hyde Park Inc Family Medicine Past Accepting new patients

Locations

1601-1 N Main St
Unit 3159
Jacksonville, FL 32206
Phone (561) 449-2478

1601 N Main St
Ste 3159
Jacksonville, FL 32206

6702 W Linebaugh Ave
Tampa, FL 33625
Phone (813) 450-1792

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

1530 Bedford Ave
Fl 3
Brooklyn, NY 11216
Phone (718) 400-6951

1890 New York Ave
Huntington Station, NY 11746
Phone (631) 427-6920

1866 Wading River Manor Rd
Wading River, NY 11792
Phone (631) 910-4200

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1356410443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2788",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337802788",
            "telephone_number": "727-896-8686",
            "fax_number": "727-317-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE S-207",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-896-8686",
            "fax_number": "727-317-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6702 W Linebaugh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254953",
            "country_code": "US",
            "telephone_number": "813-450-1792",
            "fax_number": "813-630-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "RICKY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS6109",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6109",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "59-3207217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596170300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "80494",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "OS 6109",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.