Active NPI
Michael John Roy Ingram, PT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1679074371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0014206
- Practice address
- 2490 International Cir
Colorado Springs, CO 80910-3150 - Phone
- (719) 630-8888
- NPI assigned
- Feb 27, 2018
- Last updated
- Sep 6, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12258 | AZ | |
| Physical Therapist | 225100000X | 0014206 | CO | Primary |
Addresses
Primary practice location
2490 International Cir
Colorado Springs, CO 80910-3150
Mailing address
2490 International Cir
Colorado Springs, CO 80910-3150
Phone (719) 630-8888
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 |
|---|---|---|---|
| 0014206 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nursing and Therapy Services of Colorado Inc | Physical Therapist | Current | Accepting new patients |
Locations
1130 W Woodmen Rd
Colorado Springs, CO 80919
Phone (719) 574-5562
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1508456963
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1679074371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 INTERNATIONAL CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103150",
"telephone_number": "719-630-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 INTERNATIONAL CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103150",
"telephone_number": "719-630-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "MICHAEL",
"middle_name": "JOHN ROY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-27",
"last_updated": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12258",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0014206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.