Active NPI
Angela Jan Ingram, OTR, OTD
- Occupational Therapist
- Keller, TX
National Provider Identifier
1861515561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 108519
- Practice address
- 350 Keller Pkwy
Keller, TX 76248-2249 - Phone
- (817) 774-1000
- NPI assigned
- Apr 9, 2007
- Last updated
- Jan 28, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 108519 | TX | Primary |
Addresses
Primary practice location
350 Keller Pkwy
Keller, TX 76248-2249
Mailing address
1424 Cat Mountain TRL
Keller, TX 76248-3217
Phone (214) 797-2474
Other practice location 1
1140 N Kimball Ave
Southlake, TX 76092-5569
Phone (817) 479-7019
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monkey Mouths, PLLC | Occupational Therapist | Past | Accepting new patients |
| Monkey Ears, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Audiologist
- Southlake, TX
- NPI 1831706175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1861515561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 CAT MOUNTAIN TRL",
"city": "KELLER",
"state": "TX",
"postal_code": "762483217",
"telephone_number": "214-797-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 KELLER PKWY",
"city": "KELLER",
"state": "TX",
"postal_code": "762482249",
"telephone_number": "817-774-1000"
}
],
"practiceLocations": [
{
"address_1": "1140 N Kimball Ave",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760925569",
"country_code": "US",
"telephone_number": "817-479-7019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAM",
"first_name": "ANGELA",
"middle_name": "JAN",
"credential": "OTR, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "108519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.