Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael John Roy Ingram, PT

Individual provider Physical Therapist · NPI 1679074371

Michael John Roy Ingram, PT is a Physical Therapist in Colorado Springs, Colorado. Licensed in Arizona and Colorado. Registered with an NPI since 2018.

Licensed in
AZ, CO
In the registry since
2018
Specialties on file
2
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

2490 International Cir
Colorado Springs, CO 80910-3150
Phone: (719) 630-8888
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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 0014206 (CO)
Physical Therapist Taxonomy 225100000X · Licence 12258 (AZ)

Record details

NPI number1679074371
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESMarch 2, 2018

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