RICKY P. LOCKETT, D.O, PA (NPI# 1023306206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023306206 |
| Entity Type | Organization |
| Organization Name | RICKY P. LOCKETT, D.O, PA |
| Other Organization Name | ORTHOPEDIC INJURY MANAGEMENT |
| Practice Address |
1501 5th Ave N St Petersburg FL 33705-2008 |
| Practice Telephone | 7278968686 |
| Practice Fax Number | 7278989596 |
| Mailing Telephone | 7278968686 |
| Mailing Fax Number | 7278989596 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | MR. RICKY P LOCKETT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7278968686 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
OS6109 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 056170300 | 05 |
| Other Name | Type Code |
|---|---|
| Orthopedic Injury Management | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081325 | Ricky P. Lockett, D.o, Pa | Clinic/Center | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2019-12-22 |
| Street Address |
1501 5TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356410443 | Ricky P. Lockett | Specialist | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2006-11-06 |
| 1093221798 | Quality of Life Dme Limited Liability Company | Durable Medical Equipment & Medical Supplies | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2017-12-18 |
| 1497291041 | New Vision Behavioral Health Inc | Community/Behavioral Health | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2017-01-06 |
| 1730546151 | Alyson Watson | Physician Assistant | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2016-01-15 |
| 1295133189 | Joseph D Little Jr. | Technician, Other | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-09 |
| 1700284650 | Kelly Lemming | Technician, Other | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-09 |
| 1831597731 | Ariel Adkins | Technician, Other | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-09 |
| 1972901825 | Tiffany Wallace | Technician, Other | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-09 |
| 1609274695 | Barbara Hopkins-hockman | Technician, Other | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-08 |
| 1679971667 | Larry Jackson | Specialist | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2014-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538483102 | Darlene Lynette Jones Do LLC | Physical Medicine & Rehabilitation | 1501 5th Ave N, St Petersburg, FL 33705-2008 | 2010-03-25 |
| 1770556656 | Kanta C Shah | Physical Medicine & Rehabilitation | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-10 |
| 1376521807 | Amitabh P Gupta | Physical Medicine & Rehabilitation | 5800 49th St N, Suite S 205, St Petersburg, FL 33709-2146 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.