IndividualActive
Susan Ingram, LPTA
NPI 1427693126 · Physical Therapy Assistant · Flora, IL
Provider details
- NPI number
- 1427693126
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160-003878 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
911 Stacey Burk Dr
Flora, IL 62839-3241
Phone: (618) 292-4655
Street-level locationGet directions
Mailing address
392 Goshawk Ln
Farina, IL 62838-3734
Additional practice locations (3)
- 208 Zachery DrMount Vernon, IL 62864-6712Phone: (618) 292-4655
- W N 12th StShelbyville, IL 62565Phone: (618) 292-4655
- 1704 Summers End LnFenton, MO 63026-6967Phone: (618) 292-4655
Registry dates
- Enumerated
- 2019-11-17
- Last updated
- 2019-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.