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

Mr. Ivan Lopezllavore, PTA

Individual provider Physical Therapy Assistant · NPI 1740419225

Mr. Ivan Lopezllavore, PTA is a Physical Therapy Assistant in Winter Haven, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3011 Sabal Bend Dr NE
Winter Haven, FL 33881-5108
Phone: (863) 651-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence PTA20203 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA20203 (FL)
Nursing Home Administrator Taxonomy 376G00000X · Licence NH4843 (FL)

Record details

NPI number1740419225
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 6, 2009
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address3210 Whispering Trails Ave, Winter Haven, FL 33884-1826

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