Liza Danielle Ingram, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21589 Issued in FL

Practice address

209 Middleburg Dr
Panama City Beach, FL 32413-2855

Phone

(239) 770-1227

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

FL Neuro Pain and Spine Center PA 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• FL Neuro Pain and Spine Center, .P.a.

  • Health Service Clinic/Center
  • Panama City, FL
  • NPI 1194034397

  FL

  Medicare reassignment Care Compare group NPD
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595

  FL, Physical Therapist

  Medicare reassignment NPD
• Strength and Balance Institute

  • Physical Therapist
  • Aventura, FL
  • NPI 1164077947
  NPD
• FL Neuro Pain and Spine Center, .P.a.

  • Health Service Clinic/Center
  • Panama City, FL
  • NPI 1023650595
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1295856730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MIDDLEBURG DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132855",
            "telephone_number": "239-770-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MIDDLEBURG DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132855",
            "telephone_number": "239-770-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "LIZA",
        "middle_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ruth Howell-Wright, RBT
• Sommer Lyn Hoyt, BC-AGACNP, MSN, BSN,
• Atizaz Hussain
• Dana Michelle Hutchinson, PT
• Hypermed, LLC
• Inspire Wellness Services LLC
• Shea Kristen Irvine
• Sheyda Isazadeh-Khaylani, DC
• J Grant Shuflitowski MD PA Gulf View Family Medical Center
• J L L MD Inc

• All providers in Panama City Beach, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.