Active NPI
Lori Ann Locke, MT-BC
- Music Therapist
- Port Washington, WI
National Provider Identifier
1396034708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 97-038
- Practice address
- 110 S Garfield Ave
Port Washington, WI 53074-2022 - Phone
- (262) 357-1079
- NPI assigned
- Apr 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 97-038 | WI | Primary |
Addresses
Primary practice location
110 S Garfield Ave
Port Washington, WI 53074-2022
Mailing address
110 S Garfield Ave
Port Washington, WI 53074-2022
Phone (262) 357-1079
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
| License | State | Type | Specialty |
|---|---|---|---|
| 97-038 | WI | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1396034708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S GARFIELD AVE",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742022",
"telephone_number": "262-357-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S GARFIELD AVE",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742022",
"telephone_number": "262-357-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKE",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "WI",
"license": "97-038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.