SAMUEL AARON INGRAM PT
NPI 1710009733
Physical Therapist in Prairie Village, KS

Active since April 03, 2007
7105 MISSION RD, PRAIRIE VILLAGE, KS 66208(913) 262-1611 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samuel Aaron Ingram Pt NPPES

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

SAMUEL AARON INGRAM PT (NPI 1710009733) is an individual physical therapist in Prairie Village, Kansas, licensed in Kansas (11-04512) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1710009733
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL AARON INGRAMCredential: PT
Location Address7105 MISSION RDPrairie Village, KS 66208-3077
Mailing Address12411 W 119th Ter Apt 618Overland Park, KS 66213-5725 · (817) 269-5971
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 27, 2013
✔ NPI 1710009733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in KS · 11-04512✔ Licensed in TX · 1166119
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
7105 MISSION RD, Prairie Village, KS 66208

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Aaron Ingram Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samuel Ingram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
6701 W 121ST ST
Overland Park, KS 66209
  • Reassigned Medicare billing, Kansas enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208
Physical Therapist
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208
Occupational Therapist (Physical Rehabilitation)
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208
Physical Therapy Assistant
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208
Occupational Therapy Assistant
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208
Occupational Therapist
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208
Physical Therapist
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208
Occupational Therapy Assistant
7105 MISSION RD
PRAIRIE VILLAGE, KS 66208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Ingram's NPI number?

The NPI number for Samuel Ingram is 1710009733. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Samuel Ingram located?

Samuel Ingram practices at 7105 Mission Rd, Prairie Village, KS 66208. The listed phone number is (913) 262-1611.

What is Samuel Ingram's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samuel Ingram enrolled in Medicare?

Yes. Samuel Ingram is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Ingram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ingram reassigns Medicare benefits to Tidd-Krafft Occupational And Physical Therapy PA (Overland Park, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Ingram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Ingram was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.