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

Nicole Marie Ivanov, DPT

Individual provider Physical Therapist · NPI 1851652499

Nicole Marie Ivanov, DPT is a Physical Therapist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7209 N Shadeland Ave
Indianapolis, IN 46250-2021
Phone: (219) 671-0087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 99051811A (IN)

Record details

NPI number1851652499
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

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