Active NPI
Kelsey Lynette
- Physical Therapist
- Farmington, AR
National Provider Identifier
1568341253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5730
- Practice address
- 120 Southwinds Rd Ste 2
Farmington, AR 72730-8652 - Phone
- (479) 300-6400
- Fax
- (479) 316-0372
- NPI assigned
- Aug 28, 2025
- Last updated
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5730 | AR | Primary |
Addresses
Primary practice location
120 Southwinds Rd Ste 2
Farmington, AR 72730-8652
Mailing address
3127 Southwest Dr
Jonesboro, AR 72404-8404
Phone (870) 336-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5730 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Kids Success Academy Central | Current | Accepting new patients |
Locations
3127 Southwest Dr
Jonesboro, AR 72404
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental Disabilities Clinic/Center
- Jonesboro, AR
- NPI 1326844267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1568341253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 SOUTHWEST DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048404",
"telephone_number": "870-336-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SOUTHWINDS RD STE 2",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727308652",
"telephone_number": "479-300-6400",
"fax_number": "479-316-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNETTE",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "5730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.