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RICKY P. LOCKETT D.O PA NPI 1023306206


NPI Information

NPI: 1023306206
Provider Name: RICKY P. LOCKETT, D.O, PA

Doing Business As: ORTHOPEDIC INJURY MANAGEMENT

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
5800 49TH ST N STE S-207
ST PETERSBURG, FL
ZIP 33709
Phone: (727) 896-8686
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RICKY P. LOCKETT, D.O, PA is a pain medicine physical medicine rehabilitation in St Petersburg, FL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. RICKY P. LOCKETT, D.O, PA NPI is 1023306206. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Orthopedic Injury Management.

The provider's business location address is:

5800 49TH ST N STE S-207
ST PETERSBURG, FL
ZIP 33709-146
Phone: (727) 896-8686
Fax: (727) 317-2716

The provider's authorized official is Ricky P Lockett .
The authorized official title is Medical Director and has the following contact phone number (727) 896-8686.

The enumeration date for this NPI number is 7/21/2011 and was last updated on 2/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineOS6109FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1056170300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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