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

Ivanka Jasmine Tavares

Individual provider Physical Therapist · NPI 1811711369

Ivanka Jasmine Tavares is a Physical Therapist in Private Practice in Bowie, Maryland. Graduated from Florida International Univ, College of Medicine in 2024, 2 years ago. Practices with Innovative Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Trained at
Florida International Univ, College of Medicine
Licensed in
MD
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11803 Meadowland Dr
Bowie, MD 20720-3580
Phone: (240) 780-1018
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30204 (MD)

Record details

NPI number1811711369
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Innovative Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowie