Kent Leslie Ingvalson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

087723 Issued in IA

Practice address

450 Laurel St Ste B
Des Moines, IA 50314-3045

Phone

(515) 323-6485

NPI assigned

May 25, 2017

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 IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Winneshiek Medical Center

  • Multi-Specialty Clinic/Center
  • Decorah, IA
  • NPI 1992854863
  Medicare reassignment NPD
• Winneshiek Medical Center

  • Community/Retail Pharmacy
  • Decorah, IA
  • NPI 1104507060
  NPD

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1861920597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 GRAND AVE APT 306",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124289",
            "telephone_number": "563-419-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-323-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGVALSON",
        "first_name": "KENT",
        "middle_name": "LESLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinity Assessment Services LLC
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• Kailey Ann Ingram, ARNP
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• Innovative Counseling & Consulting, Inc.
• Innovative Psychiatric Care PC
• Innovative Transport Enterprise, LLC
• Insight PLLC

• Physical Therapist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.