Active NPI
Katie Jane Ingrum, MS OTR/L
- Occupational Therapist
- Glenview, IL
National Provider Identifier
1942585476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.008873
- Practice address
- 3703 W Lake Ave
Glenview, IL 60026-5823 - Phone
- (847) 998-1188
- NPI assigned
- Oct 16, 2011
- 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 | 056.008873 | IL | Primary |
Addresses
Primary practice location
3703 W Lake Ave
Glenview, IL 60026-5823
Mailing address
2341 W Charleston St
Apt 1
Chicago, IL 60647-3258
Phone (815) 751-8667
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.008873 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Marie OT | Current | Accepting new patients | |
| The Comprehensive Group | 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 and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Elmhurst, IL
- NPI 1639908734
-
- Home Health Agency
- Glenview, IL
- NPI 1689969867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1942585476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 W CHARLESTON ST",
"address_2": "APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473258",
"telephone_number": "815-751-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 W LAKE AVE",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600265823",
"telephone_number": "847-998-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRUM",
"first_name": "KATIE",
"middle_name": "JANE",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-16",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.008873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.