Individual provider Active NPI

Deborah Lockerby

  • Occupational Therapist
  • West Plains, MO
National Provider Identifier
1720529316
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2017004725 Issued in 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
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2017004725 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians

Practice addresses (Care Compare)

730 S 7TH St
Ontonagon, MI 49953-1451
Phone (906) 884-8112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017004725MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics Inc. CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Keweenaw CurrentSince Oct 27, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Jun 19, 2023 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Keweenaw CurrentSince Oct 27, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Jun 19, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022

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

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1720529316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-257-5959",
            "fax_number": "417-257-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-257-5959",
            "fax_number": "417-257-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKERBY",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2017004725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.