Mark Allen Livingston, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1692 Issued in MS

Practice address

1220 N Shore Pkwy
Suite B
Brandon, MS 39047-6383

Phone

(601) 829-0505

Fax

(601) 829-0506

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

5 Star Performance Center, LLCGroup PAC ID 3577815372, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 5 Star Performance Center, LLC

  • Physical Therapy Clinic/Center
  • Flowood, MS
  • NPI 1689150054

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dpti Elite Physical Therapy LLC

  • Physical Therapist
  • Saltillo, MS
  • NPI 1386010718
  Medicare reassignment NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448
  Medicare reassignment NPD
• Dpti Elite Physical Therapy LLC

  • Physical Therapist
  • Baldwyn, MS
  • NPI 1013383496
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Columbus, MS
  • NPI 1073859807
  NPD (past)
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)
• Medicomp, Inc

  • Physical Therapist
  • Jackson, MS
  • NPI 1144338070
  NPD (past)
• Medicomp, Inc

  • Physical Therapist
  • Byram, MS
  • NPI 1346332574
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1023119161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051320",
            "telephone_number": "662-327-6705",
            "fax_number": "662-327-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N SHORE PKWY",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476383",
            "telephone_number": "601-829-0505",
            "fax_number": "601-829-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lirette, PMHNP-BC
• Morgan Autumn Littich, RD, LD
• Little Chatterbox Speech-Language & Hearing Solutions, LLC
• Dawn Louise Little, LMT
• Live, Learn, Grow - Pediatric Therapy Solutions, LLC
• LL Counseling Services
• Martha Cook Lloyd, M.S.
• Matthew Logue
• Benjamin Long, ATC
• Twanda Vershun Longino, DPT

• Physical Therapist in Brandon, MS
• Providers in Brandon, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.