Active NPI
Landon D Ingram, DPT
- Pediatric Physical Therapist
- Washington, DC
National Provider Identifier
1144656570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT5373
- Practice address
- 1901 Independence Ave SE
Washington, DC 20003-1733 - Phone
- (601) 613-4383
- NPI assigned
- Sep 17, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT5373 | MS | Primary |
Addresses
Primary practice location
1901 Independence Ave SE
Washington, DC 20003-1733
Mailing address
1901 Independence Ave SE
Washington, DC 20003-1733
Phone (601) 613-4383
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 |
|---|---|---|---|
| PT5373 | MS | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1144656570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 INDEPENDENCE AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200031733",
"telephone_number": "601-613-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 INDEPENDENCE AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200031733",
"telephone_number": "601-613-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "LANDON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-17",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MS",
"license": "PT5373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.