Active NPI
Carol Locklear, PT ASSISTANT
- Physical Therapy Assistant
- Pembroke, NC
National Provider Identifier
1760769335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A1105
- Practice address
- 923 W 3Rd St
Pembroke, NC 28372-9684 - Phone
- (910) 522-2072
- Fax
- (910) 522-2074
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A1105 | NC | Primary |
Addresses
Primary practice location
923 W 3Rd St
Pembroke, NC 28372-9684
Mailing address
PO Box 8500
Pinehurst, NC 28374-8500
Phone (910) 715-1010
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 |
|---|---|---|---|
| A1105 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1760769335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748500",
"telephone_number": "910-715-1010",
"fax_number": "910-715-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 W 3RD ST",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283729684",
"telephone_number": "910-522-2072",
"fax_number": "910-522-2074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLEAR",
"first_name": "CAROL",
"credential": "PT ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A1105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.