Active NPI
Keilah Ingram, OTR/L
- Occupational Therapist
- Vestavia Hills, AL
National Provider Identifier
1841817046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5247
- Practice address
- 3057 Lorna Rd Ste 220
Vestavia Hills, AL 35216-4518 - Phone
- (205) 583-2883
- Fax
- (205) 968-4157
- NPI assigned
- Jul 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5247 | AL | |
| Occupational Therapist | 225X00000X | 5247 | AL | Primary |
Addresses
Primary practice location
3057 Lorna Rd Ste 220
Vestavia Hills, AL 35216-4518
Mailing address
6157 Crowne Falls Pkwy
Hoover, AL 35244-3081
Phone (678) 761-3479
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 |
|---|---|---|---|
| 5247 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593734400000",
"number": "1841817046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6157 CROWNE FALLS PKWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352443081",
"telephone_number": "678-761-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3057 LORNA RD STE 220",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352164518",
"telephone_number": "205-583-2883",
"fax_number": "205-968-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "KEILAH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-03",
"last_updated": "2020-07-03",
"certification_date": "2020-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AL",
"license": "5247",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "5247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestavia Hills, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.