NPI age
3 years
Enumerated 2022-06-09
● Active
Type 1 · Individual
Marissa Ingram, DPT
Ingram is 1 of 195 physical therapist providers in Meridian and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
3 years
↓ 8 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Practice location
1649 E Pine Ave
Meridian, ID 836428135
Mailing address
2127 S Linda Vista Pl
Boise, ID 837098246
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PT8076 | LICENSE |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physical therapist provider has been added in Meridian in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.