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

Mrs. Susan Renae Ingram, LPTA

Individual provider Physical Therapy Assistant · NPI 1427693126

Mrs. Susan Renae Ingram, LPTA is a Physical Therapy Assistant in Flora, Illinois. Works from 4 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
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Practice location Address checks out

911 Stacey Burk Dr
Flora, IL 62839-3241
Phone: (618) 292-4655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 208 Zachery Dr, Mount Vernon, IL 62864-6712 — (618) 292-4655
  • W N 12th St, Shelbyville, IL 62565 — (618) 292-4655
  • 1704 Summers End Ln, Fenton, MO 63026-6967 — (618) 292-4655

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160-003878 (IL)

Record details

NPI number1427693126
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedNovember 17, 2019
Last updated in NPPESNovember 21, 2019

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