SAMUEL AARON INGRAM PT
NPI 1710009733
Physical Therapist in Prairie Village, KS
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
Specialties & Licenses
- 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.
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.
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.
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.