IndividualActive
Maryanne Ingram, OTR/L
NPI 1336923275 · Physical Rehabilitation Occupational Therapist · Ellijay, GA
Provider details
- NPI number
- 1336923275
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 119632 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
941 Progress Rd
Ellijay, GA 30540-5599
Phone: (912) 491-9235
Fax: (678) 951-8226
Approximate (ZIP-level) locationGet directions
Mailing address
419 George Ave
Kirkwood, MO 63122-5617
Additional practice locations (1)
- 2999 Olympus BlvdCoppell, TX 75019-0122Phone: (214) 347-0392Fax: (866) 263-7954
Registry dates
- Enumerated
- 2023-08-22
- Last updated
- 2023-11-21
- Certified
- 2023-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.