Individual provider Active NPI

Alexandria Lee Sides Easley

  • Physical Therapist
  • Blytheville, AR
National Provider Identifier
1730067703
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5689 Issued in AR
Practice address
851 E Main St # B
Blytheville, AR 72315-2521
Phone
(870) 763-8155
Fax
(870) 838-1589
NPI assigned
Aug 26, 2025
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5689 AR Primary

Addresses

Primary practice location

851 E Main St # B
Blytheville, AR 72315-2521

Mailing address

303 E Olympia Ave
Manila, AR 72442-8275

Other names 1

  • Alexandria Lee Sides Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909001349 AR Practitioner - Physical Therapist in Private Practice 5395247282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physical TherapyGroup PAC ID 9638504947, 2 clinicians

Practice addresses (Care Compare)

851 E Main St
Blytheville, AR 72315-2521
Phone (870) 763-8155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physical Therapy Physical Therapist CurrentSince Aug 26, 2025 Accepting new patients

Locations

851 E Main St
Blytheville, AR 72315
Phone (870) 763-7322

851 E Main St
#B
Blytheville, AR 72315
Phone (870) 763-8155

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.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1730067703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E OLYMPIA AVE",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724428275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E MAIN ST # B",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152521",
            "telephone_number": "870-763-8155",
            "fax_number": "870-838-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "ALEXANDRIA",
        "middle_name": "LEE SIDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "SIDES",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.