MR. ERIC INGRAM (NPI# 1649209065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649209065 |
| Entity Type | Individual |
| Full Name | MR. ERIC INGRAM |
| Credential | RPT |
| Practice Address |
1003 River St C Santa Cruz CA 95060-1754 |
| Mailing Address |
Po Box 3751 Santa Cruz CA 95063-3751 |
| Practice Telephone | 8314571800 |
| Practice Fax Number | 8314571802 |
| Mailing Telephone | 8314571800 |
| Mailing Fax Number | 8314571802 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 008448 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
25727 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN | AP477Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740626274 | Eric Lee Ingram | Physical Therapist | 1135 Expressway Dr, Suite 100 B, Pineville, LA 71360-6653 | 2013-05-10 |
| Street Address |
1003 RIVER ST C |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568857753 | Allan Wetzel | Physical Therapist | 1003 River St, Suite C, Santa Cruz, CA 95060-1754 | 2015-04-03 |
| 1629238191 | Premier Sports Medicine and Physical Therapy | Clinic/Center | 1003 River St, Suite C, Santa Cruz, CA 95060-1754 | 2008-06-09 |
| 1659554418 | Meghan R.l Johnson | Physical Therapist | 1003 River St, Suite C, Santa Cruz, CA 95060-1754 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296479 | West Cliff Physical Therapy | Physical Therapist | 214 Gharkey St, Santa Cruz, CA 95060-6104 | 2020-02-07 |
| 1851490668 | Murray Bruce Fleming | Physical Therapist | 548 Ocean St, Santa Cruz, CA 95060-6602 | 2006-09-21 |
| 1861041774 | Gina Horath | Physical Therapist | 8030 Soquel Ave Ste 200, Santa Cruz, CA 95062-2096 | 2019-09-04 |
| 1194281204 | Matthew Murray | Physical Therapist | 8030 Soquel Ave Ste 200, Santa Cruz, CA 95062-2096 | 2019-02-13 |
| 1427529007 | Megan Tanuhandaru Comparan | Physical Therapist | 1003 River St Ste C, Santa Cruz, CA 95060-1754 | 2018-12-07 |
| 1629592795 | Casey James Feickert | Physical Therapist | 8030 Soquel Ave Ste 200, Santa Cruz, CA 95062-2096 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on MR. ERIC INGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.