Active NPI
Scott David Ingraham, OTR/L
- Community Health Worker
- Columbus, OH
National Provider Identifier
1245634336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OT.008780
- Practice address
- 54 W Longview Ave
Columbus, OH 43202-1061 - Phone
- (614) 832-7364
- NPI assigned
- Oct 17, 2014
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OT.008780 | OH | Primary |
Addresses
Primary practice location
54 W Longview Ave
Columbus, OH 43202-1061
Mailing address
54 W Longview Ave
Columbus, OH 43202-1061
Phone (614) 832-7364
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 |
|---|---|---|---|
| OT.008780 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1245634336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 W LONGVIEW AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021061",
"telephone_number": "614-832-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 W LONGVIEW AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021061",
"telephone_number": "614-832-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAHAM",
"first_name": "SCOTT",
"middle_name": "DAVID",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "OT.008780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.