Vivian B. Ellis, LPT Livingston Physical Therapy – Physical Therapist, NPI 1215930326

Vivian B. Ellis, LPT Livingston Physical Therapy is a healthcare provider. based in Livingston, Texas. specializing in Physical Therapist. The NPI Number for Vivian B. Ellis, LPT Livingston Physical Therapy is 1215930326

Main info

Organization
Name
Vivian B. Ellis, LPT Livingston Physical Therapy
NPI
1215930326
Phone
(936) 327-4084
Address
305 W MILL ST
Authorized Official
MRS. JESSIE CLARKE PRESIDENT, OWNER/P.T. DPT
Enumeration Date
23 May 2005
Last Update Date
29 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness90
Years active:21State licenses:0Digital endpoints

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Provider Addresses for Vivian B. Ellis, LPT Livingston Physical Therapy

  • West Mill Street, Livingston, Polk County, Texas, 77351, United States of America

    LIVINGSTON, TX 773513299

    Phone: (936) 327-4084

    Fax: (936) 327-1201

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (145 days away).

Enrollment records

1

Earliest due date

2026-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040207000139OPhysical/Occupational Therapy Group In Private PracticeTX2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77351)

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Reviews

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Frequently asked questions

What federal number belongs to Vivian B. Ellis, LPT Livingston Physical Therapy?
The federal identifier for Vivian B. Ellis, LPT Livingston Physical Therapy is NPI 1215930326.
Does this profile mean Vivian B. Ellis, LPT Livingston Physical Therapy is currently active?
Yes — Vivian B. Ellis, LPT Livingston Physical Therapy appears active in the national provider directory.
Does Vivian B. Ellis, LPT Livingston Physical Therapy list a primary specialty?
If you are matching referrals, note Physical Therapist for Vivian B. Ellis, LPT Livingston Physical Therapy. Clinical services aligned with this taxonomy classification.
What location metadata exists for Vivian B. Ellis, LPT Livingston Physical Therapy?
The page summarizes Livingston, Texas for Vivian B. Ellis, LPT Livingston Physical Therapy; expand the address list for detail.
Is Vivian B. Ellis, LPT Livingston Physical Therapy a real provider?
This page reflects official NPPES data for NPI 1215930326. Always confirm identity and privileges with the practice and licensing boards.

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