Ingrid Anderson, DPT, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010150 Issued in GA

Practice address

495 Moreland Ave SE Ste B
Atlanta, GA 30316-1552

Phone

(404) 883-2304

Fax

(404) 393-3270

NPI assigned

Nov 23, 2010

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Intown Physical Therapy, LLCGroup PAC ID 4688817703, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intown Physical Therapy, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1346683588
  Medicare reassignment Care Compare group NPD Authorized official
• Activcore Health Network LLC

  dba Activcore

  • Physical Therapy Clinic/Center
  • Princeton, NJ
  • NPI 1659784767

  GA, Physical Therapist

  Medicare reassignment NPD
• Performance Physical Therapy, PC

  • Physical Therapist
  • Stockbridge, GA
  • NPI 1033234745
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1235431396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 MORELAND AVE SE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161552",
            "telephone_number": "404-883-2304",
            "fax_number": "404-393-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 MORELAND AVE SE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161552",
            "telephone_number": "404-883-2304",
            "fax_number": "404-393-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "INGRID",
        "name_prefix": "Dr.",
        "credential": "DPT,  PT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail F Anderson, M.D.
• Garrett Douglas Anderson, MD
• Gillian Iris Anderson
• Haleigh Anderson, RN
• Ida M Anderson, CRNA
• Isleigh Anderson
• Jacob Anderson, DC
• Jeannette Renee Anderson, PT
• John L. Anderson, M.D.
• Judith Lauren Anderson, NP

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.