National Provider Identifier
Jeremy Ingersoll
Jeremy Ingersoll is listed in the NPPES registry with a primary specialty of Physical Therapist in Hamburg, NY and a listed phone number of (716) 548-1422.
Profile Overview
- NPI
- 1588365589
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 15, 2023
- Last Updated
- March 15, 2023
Practice Location
- 6456 Lu Don Dr Apt 1
- Hamburg, NY 14075-7319
Phone: (716) 548-1422
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1588365589
- Entity Type
- Individual
- Last Name
- Ingersoll
- First Name
- Jeremy
- Mailing Street Address
- 6456 Lu Don Dr Apt 1
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-7319
- Mailing Country
- US
- Practice Street Address
- 6456 Lu Don Dr Apt 1
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-7319
- Practice Country
- US
- Practice Phone
- (716) 548-1422
- Enumeration Date
- March 15, 2023
- Last Updated
- March 15, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 15, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)