Active NPI
Robert Ingham
- Physical Therapist
- Amarillo, TX
National Provider Identifier
1316055437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6204 Hillside Rd
Suite 1000
Amarillo, TX 79109-7196 - Phone
- (806) 355-7633
- Fax
- (806) 355-7644
- NPI assigned
- Aug 28, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6204 Hillside Rd
Suite 1000
Amarillo, TX 79109-7196
Mailing address
6204 Hillside Rd
Suite 1000
Amarillo, TX 79109-7196
Phone (806) 355-7633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020972 | Other | TX | LICENSE# |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1316055437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6204 HILLSIDE RD",
"address_2": "SUITE 1000",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791097196",
"telephone_number": "806-355-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6204 HILLSIDE RD",
"address_2": "SUITE 1000",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791097196",
"telephone_number": "806-355-7633",
"fax_number": "806-355-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGHAM",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "1020972",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.