Jacquelyn G Lockhart, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

JL4301055419 Issued in MI

Practice address

31800 Northwestern Hwy Ste 120
Farmington Hills, MI 48334-1663

Phone

(248) 539-8446

Fax

(248) 539-8447

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Special Therapy Care

  • Physical Medicine & Rehabilitation Physician
  • Farmington Hills, MI
  • NPI 1649550914
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780616011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483332120",
            "telephone_number": "248-539-8446",
            "fax_number": "248-539-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31800 NORTHWESTERN HWY STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341663",
            "telephone_number": "248-539-8446",
            "fax_number": "248-539-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "JACQUELYN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "JL4301055419",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35054104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porsche Lockett
• Re'Shelle Lockett
• Tanesha Lockett
• Traye Lockhart El
• Carla Lockhart
• Jade Lockhart
• Roshouda Lockhart
• Elizabeth Lockie
• Leticia Locklear
• Ahliyah Lockwood

• Physical Medicine & Rehabilitation Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.