Candice Sheryl Locklear, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2391 Issued in MS

Practice address

12303 Highway 49
Gulfport, MS 39503-2780

Phone

(228) 832-6221

NPI assigned

Jun 11, 2010

Last updated

Jun 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1548581689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10678 JAKE BELL RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038112",
            "telephone_number": "228-861-9910",
            "fax_number": "228-832-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032780",
            "telephone_number": "228-832-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "CANDICE",
        "middle_name": "SHERYL",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Liuzza
• Roni Lizana
• Tiffany Lizana, CCS
• Charles M. Lobrano, M.D.
• Julianne Nicole Locke
• Janis Marcell Locklin, MS.,CCC-SLP
• Briana Lofton, LMSW
• Melissa Logos, CMF
• Phoenix Long
• Raymond A Long, M.D.

• Occupational Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.