Active NPI
Mary Marschner Ingram, P.T.
- Physical Therapist
- Clanton, AL
National Provider Identifier
1114363843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1872
- Practice address
- 1601 7TH St. N
Amedisys Home Health
Clanton, AL 35045-1050 - Phone
- (205) 755-5509
- NPI assigned
- May 21, 2013
- Last updated
- May 21, 2013
- 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 | PTH1872 | AL | Primary |
Addresses
Primary practice location
1601 7TH St. N
Amedisys Home Health
Clanton, AL 35045-1050
Mailing address
2109 Chandabrook Dr
Pelham, AL 35124-1050
Phone (205) 936-0188
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1872 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1114363843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 CHANDABROOK DR",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241050",
"telephone_number": "205-936-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 7TH ST. N",
"address_2": "AMEDISYS HOME HEALTH",
"city": "CLANTON",
"state": "AL",
"postal_code": "350451050",
"telephone_number": "205-755-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "MARY",
"middle_name": "MARSCHNER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH1872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clanton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.