Individual provider Active NPI

James W Ingram, DPT

  • Physical Therapist
  • Mansfield, TX
National Provider Identifier
1164032819
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3141 E Broad St Ste 111
Mansfield, TX 76063-6425
Phone
(817) 435-5248
Fax
(817) 435-5249
NPI assigned
Aug 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH10204 AL
Physical Therapist 225100000X PT6966 MS
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

3141 E Broad St Ste 111
Mansfield, TX 76063-6425

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3125 Independence Dr Ste 300B
Birmingham, AL 35209-4168
Phone (205) 879-7501

Other practice location 2

117 Bo Bo Dr
Crystal Springs, MS 39059-2741
Phone (601) 892-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200821001474 MS Practitioner - Physical Therapist in Private Practice 1951727874 Reassigns benefits to 1 organization
I20240619002597 TX Practitioner - Physical Therapist in Private Practice 1951727874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH10204ALMDPhysical Therapist
PT6966MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 3, 2024 Accepting new patients
Ew Motion Therapy Liberty Park LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Ew Motion Therapy Homewood LLC Physical Therapist CurrentSince Feb 2, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist PastSince Feb 1, 2024 Accepting new patients

Locations

3125 Independence Dr
Ste 300B
Homewood, AL 35209
Phone (205) 263-2770

4 Office Park Cir
Ste 217
Mountain Brk, AL 35223
Phone (205) 263-2770

8011 Liberty Pkwy
Ste 111
Vestavia, AL 35242
Phone (205) 383-1000

790 Remington Blvd
Bolingbrook, IL 60440

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

3141 E Broad St
Ste 111
Mansfield, TX 76063
Phone (817) 435-5248

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1164032819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 E BROAD ST STE 111",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636425",
            "telephone_number": "817-435-5248",
            "fax_number": "817-435-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Independence Dr Ste 300B",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352094168",
            "country_code": "US",
            "telephone_number": "205-879-7501",
            "fax_number": "205-879-0675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Bo Bo Dr",
            "address_purpose": "LOCATION",
            "city": "Crystal Springs",
            "state": "MS",
            "postal_code": "390592741",
            "country_code": "US",
            "telephone_number": "601-892-6330",
            "fax_number": "601-892-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10204",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6966",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.