Kelly A. Lively, P.T.
NPI 1417119249ActiveIndividual· Physical Therapist· Bristol, RI
Physical Therapist (P.T.) in Bristol, Rhode Island, licensed in RI, with an NPI issued in July 2008. Medicare paid $22,663 for services to 52 patients in 2024.
Overview
| NPI | 1417119249 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | Yes |
| NPI issued | Jul 2, 2008 |
| Last updated in NPPES | Jul 2, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT00693 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 1,143 across 5 procedure codes |
| Paid by Medicare | $22,663 |
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All 18 physical therapists in Bristol · All physical therapists in Rhode Island