Active NPI
Beth Locklear
- Massage Therapist
- Pembroke, NC
National Provider Identifier
1700527934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 05939
- Practice address
- 110 W 3Rd St
Pembroke, NC 28372-7016 - Phone
- (910) 775-9547
- NPI assigned
- Apr 3, 2022
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 05939 | NC | Primary |
Addresses
Primary practice location
110 W 3Rd St
Pembroke, NC 28372-7016
Mailing address
111 Vondy Rd
Maxton, NC 28364-9049
Phone (910) 775-9547
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bthlocklear@gmail.com |
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 |
|---|---|---|---|
| 05939 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648944000000",
"number": "1700527934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 VONDY RD",
"city": "MAXTON",
"state": "NC",
"postal_code": "283649049",
"telephone_number": "910-775-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 3RD ST",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727016",
"telephone_number": "910-775-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLEAR",
"first_name": "BETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-03",
"last_updated": "2022-04-03",
"certification_date": "2022-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NC",
"license": "05939",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "bthlocklear@gmail.com",
"affiliation": "N",
"address_1": "110 W 3rd St",
"city": "Pembroke",
"state": "NC",
"country_code": "US",
"postal_code": "283727016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.