Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ivan Ivanov, PT

Individual provider Physical Therapist · NPI 1942832803

Ivan Ivanov, PT is registered under Physical Therapist in Private Practice in Pueblo, Colorado. Qualified in 2019, 7 years ago. Practices with Chynoweth Hill and Leavitt LLC, a 43-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Delaware.

Years since qualifying
7
Licensed in
CO, DE
In the registry since
2020
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2611 Jones Ave
Pueblo, CO 81004-2650
Phone: (719) 564-1735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 914 Justison St, Wilmington, DE 19801-5150 — (302) 351-0302
  • 2607 Wyoming Blvd Ne, Albuquerque, NM 87112-1029 — (505) 296-9521

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP017621T (CO)
Physical Therapist Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence J1-0004181 (DE)

Record details

NPI number1942832803
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Chynoweth Hill And Leavitt Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Chynoweth Hill and Leavitt LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 43 clinicians in the practice; 12 are shown here.

Other providers in Pueblo