Phenix Carlock, OT is a
Occupational Therapist - Pediatrics based in East Petersburg, Pennsylvania. Phenix Carlock is licensed to practice in Pennsylvania (license number OC013944) and her current practice location is
2384 Debra Ave, East Petersburg, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 669-3690.
NPI number for Phenix Carlock is 1447625405 and her current mailing address is 2384 Debra Ave, East Petersburg, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447625405.
Healthcare Provider's Profile
| Full Name | Phenix Carlock |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist - Pediatrics |
|---|
| Location | 2384 Debra Ave, East Petersburg, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447625405
- Provider Enumeration Date: 12/02/2015
- Last Update Date: 01/13/2026
Medical Identifiers
Medical identifiers for Phenix Carlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447625405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225XP0200X | Occupational Therapist - Pediatrics | OC013944 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phenix Carlock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Phenix Carlock, OT 2384 Debra Ave, East Petersburg, PA 17520-1406 Ph: (717) 669-3690 | Phenix Carlock, OT 2384 Debra Ave, East Petersburg, PA 17520-1406 Ph: (717) 669-3690 |
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