Physical Therapist
IVAN IVANOV PT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1942832803 · enumerated 2020-02-10 · record updated 2023-01-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2611 JONES AVE, PUEBLO, CO, 81004-2650 (719) 564-1735 Google Maps Apple Maps OpenStreetMap
- Mailing address 655 S WILLOW ST STE 128, MANCHESTER, NH, 03103-5723 (800) 995-2673 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X
- Physical Therapist 225100000X · License J1-0004181 DE
- Physical Therapist 225100000X · Primary · License CP017621T CO
In this directory
Locations and evidence
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Practice location
PUEBLO, CO, 810042650
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.