Active NPI
Nancy J Lock
- Physical Therapist
- Brunswick, MO
National Provider Identifier
1619200565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00993
- Practice address
- 1008 County Rd
Brunswick, MO 65236-1445 - Phone
- (660) 548-3550
- Fax
- (660) 548-3029
- NPI assigned
- Sep 10, 2009
- Last updated
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00993 | MO | Primary |
Addresses
Primary practice location
1008 County Rd
Brunswick, MO 65236-1445
Mailing address
1008 County Rd
Brunswick, MO 65236-1445
Phone (660) 548-3550
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 |
|---|---|---|---|
| 00993 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunswick R-II Schools | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1619200565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 COUNTY RD",
"city": "BRUNSWICK",
"state": "MO",
"postal_code": "652361445",
"telephone_number": "660-548-3550",
"fax_number": "660-548-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 COUNTY RD",
"city": "BRUNSWICK",
"state": "MO",
"postal_code": "652361445",
"telephone_number": "660-548-3550",
"fax_number": "660-548-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCK",
"first_name": "NANCY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "00993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, MO
- John Fitzgibbon Memorial Hospital, Inc. (Grand River Medical Center)
- Jukeco Enterprises LLC (Brunswick Nursing Home)
- Margaret J Larson, SLP
- Lightning Creek Investment Group,Inc (Brunswick Nursing Home)
- Trent Link, FNP
- Paige McHugh
- Lindsay Dyan Meyer, OTA
- Missouri Valley Regional Medical Center, LLC
- Sandra L. Moser, FNP
- Brooke Nicole Schreckhise, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.