Individual provider · Type 1 NPI

Susan Renae Ingram, LPTA

Physical Therapy Assistant · Flora, IL

NPI number 1427693126 Active

Practice location

911 Stacey Burk Dr
Flora, IL 62839-3241

Call (618) 292-4655 Map

Mailing address

392 Goshawk Ln
Farina, IL 62838-3734

Other practice locations

  • 1704 Summers End Ln, Fenton, MO 63026-6967 · (618) 292-4655
  • 208 Zachery Dr, Mount Vernon, IL 62864-6712 · (618) 292-4655
  • W N 12th St, Shelbyville, IL 62565 · (618) 292-4655

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160-003878 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

15 other providers at this address

Other physical therapy assistant providers in Flora

See all in Flora →

About NPI 1427693126

Susan Renae Ingram, LPTA's National Provider Identifier is 1427693126, issued on Nov 17, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Flora, IL. The record was last updated on Nov 21, 2019.