Ivan Ivanov, PT
Physical Therapist · Pueblo, CO
Ivan Ivanov, PT is a physical therapist with a practice address in Pueblo, Colorado, and NPI 1942832803, issued on Feb 10, 2020. Check the license (Colorado CP017621T, as entered in NPPES) with the Colorado board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ivan Ivanov
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- CP017621T CO
J1-0004181 DE
Self-reported in NPPES; status is on the state search - Practice location
- 2611 Jones Ave, Pueblo, CO 81004
- Phone
- (719) 564-1735
- Enumerated
- Feb 10, 2020
- Record last updated
- Jan 19, 2023
- Medicare enrollment
- Enrolled (PECOS I20220314000689); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 2611 Jones Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Morgan Cooper, CCC-SLPSpeech-Language Pathologist1609304831
- Stephanie Dionisio, COTA/LOccupational Therapy Assistant1285116004
- Kayla Fisher, COTA/LOccupational Therapy Assistant1174036784
- Joan Gallagher, MA CCC SLPSpeech-Language Pathologist1184014656
- Selena Gonzales, COTAOccupational Therapy Assistant1891128757
- Kristine Konitzer, MS/CCC-SLPSpeech-Language Pathologist1154540946
Verify Ivan Ivanov in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Colorado board licenses this profession
Search for license CP017621TCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Chynoweth Hill And Leavitt LLCReno, NV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
100 physical therapist records list a practice address in Pueblo
They are 100 of the 3,717 NPPES records with a practice address in Pueblo, and 6,354 physical therapist records in Colorado.
All 100 in Pueblo → All 6,354 in Colorado → Every provider in Pueblo →
Other physical therapist records in Colorado
- Jennifer Aaker, D.P.T.Greenwood Village, CO1265467781
- Lisa Aanonsen Kellogg, PT, DPTBasalt, CO1275727950
- Aimee Aaroe, DPTCanon City, CO1801446810
- Heidi Aarsby Logsdon, DPTDenver, CO1013242205
- Hashem AbabnehAurora, CO1811695356
- Heather Abatelli, PTColorado Springs, CO1720129414
- Manel Abayon, DPTLafayette, CO1932449089
- Kenneth Abbott, PTWellington, CO1609028844
- Rebecca Abbott, PT, DPT, PHDColorado Springs, CO1295479087
- Madeline Abbs, DPTDenver, CO1881325637
Common questions
What is Ivan Ivanov, PT's NPI number?
Ivan Ivanov, PT's National Provider Identifier (NPI) is 1942832803, issued on Feb 10, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Ivan Ivanov, PT located?
The NPPES record lists a practice address at 2611 Jones Ave, Pueblo, CO, 81004. Phone: (719) 564-1735. Providers update this record themselves, so call before visiting.
How can I verify Ivan Ivanov, PT's license?
NPPES lists Colorado license number CP017621T, as entered by the provider. Search the Colorado board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.