Active NPI
Anthony Wayne Ingram, MS, OTR/L
- Occupational Therapist
- Hudson, FL
National Provider Identifier
1740414788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 13188
- Practice address
- 6009 Sea Ranch Dr
Apt. 302
Hudson, FL 34667-4545 - Phone
- (954) 591-2520
- NPI assigned
- May 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 13188 | FL | Primary |
Addresses
Primary practice location
6009 Sea Ranch Dr
Apt. 302
Hudson, FL 34667-4545
Mailing address
6009 Sea Ranch Dr
Apt. 302
Hudson, FL 34667-4545
Phone (954) 591-2520
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 13188 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Therapies Group Inc | Occupational Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Therapist
- Lady Lake, FL
- NPI 1174768360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1740414788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6009 SEA RANCH DR",
"address_2": "APT. 302",
"city": "HUDSON",
"state": "FL",
"postal_code": "346674545",
"telephone_number": "954-591-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6009 SEA RANCH DR",
"address_2": "APT. 302",
"city": "HUDSON",
"state": "FL",
"postal_code": "346674545",
"telephone_number": "954-591-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "ANTHONY",
"middle_name": "WAYNE",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 13188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.