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

Elijah Ingrum

Individual provider Physical Therapist · NPI 1124566328

Elijah Ingrum is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2016, 10 years ago. Practices with Reliant Senior Living LLC, a 108-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

10325 Spruce Grove Ave
San Diego, CA 92131-2218
Phone: (858) 335-2682
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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 292757 (CA)

Record details

NPI number1124566328
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2017
Last updated in NPPESFebruary 8, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Reliant Senior Living Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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