Rebecca Burns Ingram, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4839 Issued in AL

Practice address

2804 Greenhill Blvd NW Ste 102
Fort Payne, AL 35968

Phone

(256) 979-1222

Fax

(256) 979-1223

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Go Play Therapy, L.L.C.

  • Specialist
  • Fort Payne, AL
  • NPI 1912406927
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1124219902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 GREENHILL BLVD NW STE 102",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683067",
            "telephone_number": "256-979-1222",
            "fax_number": "256-979-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GREENHILL BLVD NW STE 102",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-979-1222",
            "fax_number": "256-979-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2804 Greenhill Blvd NW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "35968",
            "country_code": "US",
            "telephone_number": "256-979-1222",
            "fax_number": "256-979-1223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 W Main St",
            "address_purpose": "LOCATION",
            "city": "Centre",
            "state": "AL",
            "postal_code": "359601339",
            "country_code": "US",
            "telephone_number": "256-266-1286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 10th Ave W",
            "address_purpose": "LOCATION",
            "city": "Palmetto",
            "state": "FL",
            "postal_code": "342215032",
            "country_code": "US",
            "telephone_number": "941-722-3582",
            "fax_number": "941-729-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "REBECCA",
        "middle_name": "BURNS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "12833",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.