Active NPI
Jennifer Rene Lockard, OTR/L
- Occupational Therapist
- Somerset, KY
National Provider Identifier
1689703621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 135507
- Practice address
- 401 Bogle St Ste 206
Somerset, KY 42503-2850 - Phone
- (606) 398-8234
- NPI assigned
- Mar 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R-3259 | KY | |
| Occupational Therapist | 225X00000X | 135507 | KY | Primary |
Addresses
Primary practice location
401 Bogle St Ste 206
Somerset, KY 42503-2850
Mailing address
401 Bogle St Ste 206
Somerset, KY 42503-2850
Phone (606) 398-8234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135507 | KY | MD | Occupational Therapist |
| R-3259 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Developmental Group | Multi-Specialty | Current | Accepting new patients |
| Total Rehab Center, PSC | Multi-Specialty | Current | Accepting new patients |
Locations
175 Medpark Dr
Somerset, KY 42503
Phone (606) 679-1761
401 Bogle St
Ste 206
Somerset, KY 42503
Phone (606) 398-8234
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1689703621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BOGLE ST STE 206",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032850",
"telephone_number": "606-398-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BOGLE ST STE 206",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032850",
"telephone_number": "606-398-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKARD",
"first_name": "JENNIFER",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R-3259",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "KY",
"license": "135507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.