Active NPI
Donna Kay Ingram, PT
- Physical Therapist
- Killeen, TX
National Provider Identifier
1043495344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1711 E Central Texas Expy Ste 108-8
Killeen, TX 76541-9119 - Phone
- (254) 319-8904
- Fax
- (254) 247-3358
- NPI assigned
- Jan 4, 2008
- 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 | TX | Primary |
Addresses
Primary practice location
1711 E Central Texas Expy Ste 108-8
Killeen, TX 76541-9119
Mailing address
1711 E Central Texas Expy Ste 108-8
Killeen, TX 76541-9119
Phone (254) 319-8904
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210810203 | Medicaid | TX | |
| 210810205 | Medicaid | TX | |
| 210810206 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opening Gaits Pediatric Center, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Belton, TX
- NPI 1841509130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1043495344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 E CENTRAL TEXAS EXPY STE 108-8",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765419119",
"telephone_number": "254-319-8904",
"fax_number": "254-247-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 E CENTRAL TEXAS EXPY STE 108-8",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765419119",
"telephone_number": "254-319-8904",
"fax_number": "254-247-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "DONNA",
"middle_name": "KAY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-04",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210810203",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210810205",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210810206",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
- Stephen Michael Igleheart, PHARMD
- Maureen Ikpeazu, PHARMACIST
- Paul Richard Illyes, CRNA
- Inbesi Counseling & Life Care
- Carissa Lynn Incorvaia
- Inner Strength LLC
- Inspired Adult Care Services PLLC.
- Inspired Designs Hair Salon & Barbershop & Spa LLC
- Integrated Pain Associates PLLC
- Integrated Pain Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.