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

Individual provider Physical Therapy Assistant · NPI 1548701451

Yelena Ivanov is a Physical Therapy Assistant in Chester, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017
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Practice location Address checks out

509 Skyline Trl
Chester, MA 01011-9533
Phone: (904) 887-6763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9026 (MA)

Record details

NPI number1548701451
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2017
Last updated in NPPESMarch 10, 2017