Clint T Lockridge, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3764 Issued in AL

Practice address

1514 Owens St
Gadsden, AL 35904-4938

Phone

(256) 543-1030

Fax

(256) 439-2830

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lymphatic & Wellness Centers,LLC

  • Occupational Therapist
  • Bessemer, AL
  • NPI 1750695557
  NPD (past)
• Prohealth Physical Therapy

  • Physical Therapist
  • Fort Payne, AL
  • NPI 1710177829
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366473753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 OWENS ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359044938",
            "telephone_number": "256-543-1030",
            "fax_number": "256-439-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 OWENS ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359044938",
            "telephone_number": "256-543-1030",
            "fax_number": "256-439-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKRIDGE",
        "first_name": "CLINT",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-28491",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle K Lindsey, RPT
• Courtney Grace Lipscomb Cornelius
• Chris Lipscomb
• Misti C Lipscomb, PA-C
• Myra Bethany Lipscomb, CRNP
• Daniel Craig Lockridge, MD
• James Lombardo, PA
• Matthew Brooke Lovato, M.D.
• Alan Crain Loveman, DMD
• Courtney M Lowe, MD

• Physical Therapist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.