Individual provider Active NPI

Kelsea E Livingston, DPT

  • Physical Therapist
  • Paragould, AR
National Provider Identifier
1104473529
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5472 Issued in AR
Practice address
4700 W Kingshighway
Paragould, AR 72450-3465
Phone
(870) 936-8000
Fax
(870) 934-3667
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5472 AR Primary
Physical Therapist 225100000X MS

Addresses

Primary practice location

4700 W Kingshighway
Paragould, AR 72450-3465

Mailing address

PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 936-8000

Other names 1

  • Kelsea Sanford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200303000145 MS Practitioner - Physical Therapist in Private Practice 7113354218 Reassigns benefits to 1 organization
I20241007000316 AR Practitioner - Physical Therapist in Private Practice 7113354218 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelvic Floor and Core Physical Therapy of Jonesboro LLCGroup PAC ID 2860822103, 5 clinicians
Northeast Arkansas Clinic Charitable Foundation, Inc.Group PAC ID 2961547526, 294 clinicians

Practice addresses (Care Compare)

2915 E Matthews Ave
Suite B
Jonesboro, AR 72401-4488
Phone (870) 333-5210

4700 W Kingshighway
Paragould, AR 72450-3465
Phone (870) 240-8402

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Floor and Core Physical Therapy of Jonesboro LLC Physical Therapist CurrentSince Jun 11, 2025 Accepting new patients
Physical Therapy Center of Ocean Springs, LLC Physical Therapist CurrentSince Jan 23, 2020 Accepting new patients
Physical Therapy Center of Ocean Springs, LLC Physical Therapist CurrentSince Jan 23, 2020 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
In Motion Physical Therapy, PLLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients

Locations

2401 Bernard St
Ste 3
Jonesboro, AR 72401
Phone (870) 761-9909

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

2915 E Matthews Ave
Ste B
Jonesboro, AR 72401
Phone (870) 333-5210

4700 W Kingshighway
Paragould, AR 72450
Phone (870) 240-8402

900 Holcomb Blvd
#A
Ocean Springs, MS 39564
Phone (228) 872-6821

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1104473529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1960",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031960",
            "telephone_number": "870-936-8000",
            "fax_number": "870-934-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503465",
            "telephone_number": "870-936-8000",
            "fax_number": "870-934-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "KELSEA",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5472",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEA",
            "last_name": "SANFORD",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.