BRENT INGELMAN – Physical Therapist, NPI 1053836965

BRENT INGELMAN is a healthcare provider. based in Plymouth, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for BRENT INGELMAN is 1053836965

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BRENT INGELMAN
NPI
1053836965
Phone
(866) 991-0900
Address
801 W ANN ARBOR TRL STE 220
Enumeration Date
11 August 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3102730877
Graduation Year
2017 (9 years ago)
PAC ID
6305104910
Group Practice PAC ID
7810071958
Professional Enrollment ID
I20180102002464
Address ID
CA904034751SA2730XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

3,481 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for BRENT INGELMAN

  • 220, West Ann Arbor Trail, Plymouth, Wayne County, Michigan, 48170, United States

    PLYMOUTH, MI 481706224

    Phone: (866) 991-0900

    Fax: (866) 992-0900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180102002464IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes18831$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17840$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2911$0
97162Evaluation for physical therapy, typically 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48170)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810071958View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeNJ
-CA

Reviews

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Frequently asked questions

Is there an official ID for BRENT INGELMAN in U.S. healthcare records?
The official identifier for BRENT INGELMAN is NPI 1053836965.
Is there an active status for BRENT INGELMAN?
For scheduling context, BRENT INGELMAN is shown as active in the registry.
What expertise is attributed to BRENT INGELMAN?
BRENT INGELMAN's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Michigan is BRENT INGELMAN registered?
Use Plymouth, Michigan as the headline location for BRENT INGELMAN here.
When was this NPI issued?
Enumeration for BRENT INGELMAN is noted as August 11, 2017 where the registry provides it.

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