Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Villagrana-Fraire

Individual provider Physical Therapy Assistant · NPI 1124480629

Ivan Villagrana-Fraire is a Physical Therapy Assistant in Overland Park, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2016

Practice location Address checks out

6400 Glenwood St Ste 111
Overland Park, KS 66202-4014
Phone: (913) 831-2721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 14--02-995 (KS)

Record details

NPI number1124480629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESMarch 23, 2016

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