Kenneth Ingalls III, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4704 Issued in ME

Practice address

11 Main Rd N
Hampden, ME 04444

Phone

(207) 862-3906

Fax

(207) 862-2892

NPI assigned

Oct 7, 2016

Sex

Male

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 ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beane Family Ventures Inc. 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Beane Family Ventures Inc.

  • Physical Therapy Clinic/Center
  • Bangor, ME
  • NPI 1639940646

  ME

  Medicare reassignment Care Compare group
• Ube Physical Therapy and Performance LLC

  • Physical Therapy Clinic/Center
  • Bangor, ME
  • NPI 1508226119

  ME, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1669922258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 227",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044440227",
            "telephone_number": "207-862-3906",
            "fax_number": "207-862-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN RD N",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "04444",
            "telephone_number": "207-862-3906",
            "fax_number": "207-862-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALLS",
        "first_name": "KENNETH",
        "name_suffix": "III",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hampden Psychological Consultation, PLLC
• Hannaford Bros Co LLC
• Heavenly Smiles, PA
• Highland Pre-School
• Home Living
• Tracy R Johns, LCSW
• Monique Richard Kahn, PSY.D.
• Salena King Caruso, PHD
• Erin Cara Lachance, MSPT
• Monica Larrabee

• All providers in Hampden, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.