Basic Information
| Provider Information | |||||||||
| NPI: | 1427117316 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOCKERT | ||||||||
| FirstName: | JOYCE | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | DPT, OCS, SCS, ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 905 | ||||||||
| Address2: | |||||||||
| City: | ST JOHNSBURY | ||||||||
| State: | VT | ||||||||
| PostalCode: | 058190905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8027488141 | ||||||||
| FaxNumber: | 8027484098 | ||||||||
| Practice Location | |||||||||
| Address1: | 245 NORTH STREET | ||||||||
| Address2: | |||||||||
| City: | STONEHAM | ||||||||
| State: | MI | ||||||||
| PostalCode: | 02180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7814387221 | ||||||||
| FaxNumber: | 7814387208 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2006 | ||||||||
| LastUpdateDate: | 10/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 8136 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 043087537 | 01 | MA | PRIVATE | OTHER | Y66977 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | 616931 | 01 | MA | HARVARD PILGRIM HEALTH | OTHER | 470209 | 01 | MA | TUFTS HEALTH PLAN | OTHER |