Active NPI
Elizabeth Anne Ingalls, PT
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1104941459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 015539
- Practice address
- 170 East 61St St 3Rd FL
New York, NY 10021 - Phone
- (914) 261-1060
- Fax
- (914) 271-2713
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 015539 | NY | Primary |
Addresses
Primary practice location
170 East 61St St 3Rd FL
New York, NY 10021
Mailing address
1 Penfield Avenue
Croton on Hudson, NY 10520
Phone (914) 271-2713
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2532272 | Other | NY | OXFORD |
| QP0371 | Other | NY | WESTCHESTER BCBS |
| 2263473 | Other | NY | UNITED HEALTH CARE |
| 02380050 | Medicaid | NY | |
| 12001569 | Other | NY | MULTIPLAN |
| QP0372 | Other | NY | MANHATTAN BCBS |
Other names 1
- Miss Elizabeth Anne Malta
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104941459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PENFIELD AVENUE",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "10520",
"telephone_number": "914-271-2713",
"fax_number": "914-271-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 EAST 61ST ST 3RD FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "914-261-1060",
"fax_number": "914-271-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGALLS",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "015539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2532272",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WESTCHESTER BCBS",
"identifier": "QP0371",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2263473",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02380050",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12001569",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANHATTAN BCBS",
"identifier": "QP0372",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MALTA",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "BS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.