Active NPI
Lyndsey Ingram, DPT
- Physical Therapist
- Ponte Vedra, FL
National Provider Identifier
1467072140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35547
- Practice address
- 509 Portsmouth Bay Ave
Ponte Vedra, FL 32081-1539 - Phone
- (813) 997-2592
- NPI assigned
- Apr 22, 2020
- Sex
- Female
- 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 | PT35547 | FL | Primary |
Addresses
Primary practice location
509 Portsmouth Bay Ave
Ponte Vedra, FL 32081-1539
Mailing address
509 Portsmouth Bay Ave
Ponte Vedra, FL 32081-1539
Phone (813) 997-2592
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 |
|---|---|---|---|
| PT35547 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1467072140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 PORTSMOUTH BAY AVE",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320811539",
"telephone_number": "813-997-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 PORTSMOUTH BAY AVE",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320811539",
"telephone_number": "813-997-2592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "LYNDSEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra, FL
- Human Roots Integrative Psychiatry PLLC
- Anita Christine Hurley, L.M.T.
- Mary D Huszcza, OTR L
- Antwiwa Hyman, M.S. CCC-SLP
- Igor Melnychuk MD PA
- Cynthia Lyn Inks
- Inner Strength Physical Therapy, LLC.
- Integrated Health Clinical Counseling P.L.L.C.
- Jacksonville Orthopaedic Institute Inc
- Jax Psychiatry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.