Active NPI
James W Ingram, DPT
- Physical Therapist
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10204 | AL | MD | Physical Therapist |
| PT6966 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ew Motion Therapy Liberty Park LLC | Physical Therapist | Current | Accepting new patients |
| Ew Motion Therapy Homewood LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Physical Therapist
- Louisville, MS
- NPI 1952732448
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Physical Therapist
- Birmingham, AL
- NPI 1316034721
-
- Physical Therapist
- Mountain BRK, AL
- NPI 1013645357
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
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": []
}
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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.