Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deirdre Ingram, PT

Individual provider Physical Therapist · NPI 1508066838

Deirdre Ingram, PT is a Physical Therapist in Private Practice in Kings Park, New York. Qualified in 1998, 28 years ago. Practices with Main Street Physical Therapy and Hand Rehabilitation of Kings Park, Pl, a 2-clinician group. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

152 W Main St
Kings Park, NY 11754
Phone: (631) 269-6652
Fax: (631) 269-6654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 018963-1 (NY)

Record details

NPI number1508066838
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing address152 W Main Street, Kings Park, NY 11754

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Main Street Physical Therapy And Hand Rehabilitation Of Kings Park, Pl — 2 clinicians
Accepts Medicare assignment Not indicated

Other providers in Kings Park