Ivan Ivanov, PT
Physical Therapist · Pueblo, CO
At a glance
2611 Jones Ave, Pueblo, CO 81004-2650
NPPES record updated Jan 19, 2023. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
2611 Jones AvePueblo, CO 81004-2650
Additional reported practice locations
914 Justison StWilmington, DE 198015150
Phone: 3023510302 2607 Wyoming Blvd Ne
Albuquerque, NM 871121029
Phone: 5052969521
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2019
- CMS specialties
- Physical Therapist In Private Practice
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physical Therapist
- Taxonomy code
- 225100000X
- Enumeration date
- Feb 10, 2020
- Record updated
- Jan 19, 2023
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- PT
Reported taxonomies and licenses
225100000X
225100000X
License reported: J1-0004181 DE
225100000X · Primary
License reported: CP017621T CO
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2611 Jones AvePueblo, CO 81004-2650
- Phone
- (719) 564-1735
Mailing address
655 S WILLOW ST STE 128MANCHESTER, NH 031035723
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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