Active NPI
James Jason Ingram, PT
- Physical Therapist
- Brevard, NC
National Provider Identifier
1366845802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6760
- Practice address
- 245 Rosman Hwy
Perfect Balance PT
Brevard, NC 28712-5708 - Phone
- (828) 966-9036
- Fax
- (828) 966-4538
- NPI assigned
- Sep 29, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6760 | NC | Primary |
Addresses
Primary practice location
245 Rosman Hwy
Perfect Balance PT
Brevard, NC 28712-5708
Mailing address
20 Covan CV
Asheville, NC 28803-5518
Phone (828) 298-8249
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6760 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1366845802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 COVAN CV",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288035518",
"telephone_number": "828-298-8249",
"fax_number": "888-511-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 ROSMAN HWY",
"address_2": "PERFECT BALANCE PT",
"city": "BREVARD",
"state": "NC",
"postal_code": "287125708",
"telephone_number": "828-966-9036",
"fax_number": "828-966-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JAMES",
"middle_name": "JASON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-29",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.