Deborah Lockerby
Individual provider Active NPI Occupational Therapist · West Plains, MO
NPI 1720529316 · NPPES record last updated Mar 15, 2017
Key facts
- NPI
- 1720529316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2017004725 (MO)
- Practice address
- 1100 N Kentucky Ave
West Plains, MO 65775-2029 - Phone
- (417) 257-5959
- Fax
- (417) 257-5814
- NPI assigned
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Keweenaw
Practice addresses (Care Compare)
730 S 7TH St
Ontonagon, MI 49953-1451
Phone (906) 884-8112
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230720003612 | MO | Practitioner - Occupational Therapist in Private Practice | 8224498316 | Reassigns benefits to 1 organization |
| I20251215002160 | MI | Practitioner - Occupational Therapist in Private Practice | 8224498316 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017004725 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Iron River Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Ozarks Medical Center | Current |
Accepting new patients | |
| Aspirus Keweenaw | Current |
Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics Inc. | Current |
Accepting new patients | |
| Aspirus Keweenaw | Current |
Accepting new patients | |
| Aspirus Keweenaw | Current |
Accepting new patients | |
| Ozarks Medical Center | Current |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
730 S 7th St
Ontonagon, MI 49953
Phone (906) 884-6054
1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2017004725 | MO | Yes |
Addresses
Primary practice location
1100 N Kentucky Ave
West Plains, MO 65775-2029
Mailing address
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 257-5959
Other providers in West Plains, MO
- Lifewell Mind and Body Clinic
- Jaime E Lile
- Lincare Inc.
- Barbara Linville
- David Blake Lish
- James W Lofgren
- Jess Daniel Loges
- Shawna Loges
- Elizabeth R Logsdon
- Kirstien Loman
All providers in West Plains, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.