Eric Ingram, RPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

25727 Issued in CA

Practice address

1003 River St
C
Santa Cruz, CA 95060-1754

Phone

(831) 457-1800

Fax

(831) 457-1802

NPI assigned

Jun 30, 2006

Last updated

Feb 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Sports Medicine and Physical TherapyGroup PAC ID 7517035249, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.31 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.72

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Sports Medicine and Physical Therapy

  dba Premier Physical Therapy

  • Physical Therapy Clinic/Center
  • Santa Cruz, CA
  • NPI 1629238191

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Santa Cruz Medical Clinic, Inc

  dba Santa Cruz Medical Clinic

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1588775308
  NPD (past)
• Immanuels Word Inc

  dba Body Pros Physical Therapy

  • Physical Therapy Clinic/Center
  • Alpharetta, GA
  • NPI 1912949322
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1649209065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3751",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950633751",
            "telephone_number": "831-457-1800",
            "fax_number": "831-457-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 RIVER ST",
            "address_2": "C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601754",
            "telephone_number": "831-457-1800",
            "fax_number": "831-457-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "008448",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "25727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AP477Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Escamilla Iles
• Impakt Medical, LLC
• Hannah Noel Inama
• Clarissa Infante
• Sofia Infante
• Guadalupe Iniguez
• Mellisa Iniguez
• Innovative Spine Surgery
• Inside Out Health
• Insight Licensed Professional Clinical Counselor and Family Therapy (Insight Counseling)

• Orthopedic Physical Therapist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.