Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Samuel Aaron Ingram, PT

Individual provider Physical Therapist · NPI 1710009733

Samuel Aaron Ingram, PT is registered under Physical Therapist in Private Practice in Prairie Village, Kansas. Qualified in 2005, 21 years ago. Practices with Tidd-Krafft Occupational and Physical Therapy PA, a 31-clinician group and accepts Medicare assignment. Licensed in Kansas and Texas.

Years since qualifying
21
Licensed in
KS, TX
In the registry since
2007
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

7105 Mission Rd
Prairie Village, KS 66208-3077 Not confirmed with CMS for 13 years — call before visiting
Phone: (913) 262-1611
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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 11-04512 (KS)
Physical Therapist Taxonomy 225100000X · Licence 1166119 (TX)

Record details

NPI number1710009733
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESMarch 27, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tidd-Krafft Occupational And Physical Therapy Pa — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Tidd-Krafft Occupational and Physical Therapy PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 31 clinicians in the practice; 12 are shown here.

Other providers in Prairie Village