Individual provider Active NPI

Casey Marlene Ingram, OTR

  • Hand Occupational Therapist
  • Midlothian, TX
National Provider Identifier
1245578145
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
115307 Issued in TX
Practice address
1441 S Midlothian Pkwy
Midlothian, TX 76065-5591
Phone
(972) 723-0380
NPI assigned
Jan 28, 2013
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 115307 TX Primary

Addresses

Primary practice location

1441 S Midlothian Pkwy
Midlothian, TX 76065-5591

Mailing address

1441 S Midlothian Pkwy Ste 170
Midlothian, TX 76065-5597
Phone (972) 723-0380

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

LicenseStateTypeSpecialty
115307TXMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor Medical Center at Waxahachie PastSince Aug 28, 2021 Accepting new patients
Bir JV LLP PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1245578145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 S MIDLOTHIAN PKWY STE 170",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655597",
            "telephone_number": "972-723-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 S MIDLOTHIAN PKWY",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655591",
            "telephone_number": "972-723-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "CASEY",
        "middle_name": "MARLENE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "115307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.