MRS. SUSAN RENAE INGRAM (LPTA) – Physical Therapy Assistant, NPI 1427693126
Physical Therapy Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. SUSAN RENAE INGRAM (LPTA)
1704 Summers End Ln
Fenton, MO 630266967
Phone: (618) 292-4655
Type: Location
W N 12th St
Shelbyville, IL 62565
Phone: (618) 292-4655
Type: Location
208 Zachery Dr
Mount Vernon, IL 628646712
Phone: (618) 292-4655
Type: Location
392 GOSHAWK LN
FARINA, IL 628383734
Phone: (618) 292-4655
Type: Mailing
911 STACEY BURK DR
FLORA, IL 628393241
Phone: (618) 292-4655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63026)
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