MEDICARE: INGRID PAPPAS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist		SC

General Provider Information

NPI Number	:	1417228925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INGRID PAPPAS OTR/L

Provider Business Mailing Address
First Line	:	150 MOUNTAIN BROOK TRL
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-6415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 MOUNTAIN BROOK TRL
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-6415
Country	:	US
Telephone Number	:	847-409-4642
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2012
Last Update Date	:	02/12/2026

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Directions to “ INGRID PAPPAS OTR/L” Practice Location

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