Kelley Ingram, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6546 Issued in SC

Practice address

309 Kershaw St
Cheraw, SC 29520-2606

Phone

(843) 910-1427

NPI assigned

Dec 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1255752366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 KERSHAW ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202606",
            "telephone_number": "843-910-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 KERSHAW ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202606",
            "telephone_number": "843-910-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "KELLEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6546",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13446",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Holter
• Horton Chiropractic Clinic of Cheraw, PA
• Alison Carisa Huggins, NP
• Adeana Hope Hunter
• Sydney M Hutson, LPC
• Jeffshan Sam Jose John Ponnarasu, PA
• Danielle Johnson
• Tonya Jones, PHARMD
• Carrie Blackman Jordan, D.M.D.
• Anissa F Keith, PTA

• Physical Therapist in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.