Irene Rogers Ingram, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

34 Issued in SC

Practice address

603 W Carolina Ave
Hartsville, SC 29550-4443

Phone

(843) 332-3600

Fax

(843) 332-1314

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Therapeutic Designs and Services

  • Occupational Therapist
  • Hartsville, SC
  • NPI 1336198951
  NPD (past) Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1881852838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1923",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511923",
            "telephone_number": "843-332-3600",
            "fax_number": "843-332-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504443",
            "telephone_number": "843-332-3600",
            "fax_number": "843-332-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "IRENE",
        "middle_name": "ROGERS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "34",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0118",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Hruska
• Brian H Hunt, DMD
• Shakeria Etoile Hunter, M.A
• Kelly Hutchinson
• Ies South Carolina LLC
• Internal Medicine Medical Consultant LLC
• Naveed Iqbal, MD
• Jackson Family Chiropractic PC
• Andrew Dan Jackson, D.C.
• Barbara Jackson

• Occupational Therapist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.