Individual provider Active NPI

Jennifer Rene Lockard, OTR/L

  • Occupational Therapist
  • Somerset, KY
National Provider Identifier
1689703621
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
135507 Issued in KY
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

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R-3259 KY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20180910000560 KY Practitioner - Occupational Therapist in Private Practice 6800146069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
135507KYMDOccupational Therapist
R-3259KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Developmental Group Multi-Specialty CurrentSince Jul 21, 2024 Accepting new patients
Total Rehab Center, PSC Multi-Specialty CurrentSince May 1, 2018 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.

Verify at the official NPI Registry.