PETER INGRAM
NPI 1619869534
Massage Therapist in South Portland, ME

Active since July 16, 2025
27 OCEAN ST STE 2, SOUTH PORTLAND, ME 04106(207) 400-6393 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peter Ingram NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER INGRAM (NPI 1619869534) is an individual massage therapist in South Portland, Maine, licensed in Maine (MT8043) and active in the NPI registry since July 2025. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1619869534
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NamePETER INGRAM
Location Address27 OCEAN ST STE 2South Portland, ME 04106-2854
Mailing Address27 Ocean St Ste 2South Portland, ME 04106-2854 · (207) 400-6393
Sole ProprietorYes
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1619869534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in ME · MT8043
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

27 OCEAN ST STE 2, South Portland, ME 04106

Secondary Practice Location 1

Location 1609 Forest AvePortland, ME 04101-1515 · Phone (207) 245-0153

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619869534, enumerated as an "individual" on July 16, 2025.

The provider is located at 27 OCEAN ST STE 2 SOUTH PORTLAND, ME 04106 and the phone number is (207) 400-6393.

Massage Therapist with taxonomy code 225700000X.