Dillon Ivan
Physical Therapy Assistant in Waterbury, Connecticut
1053898510- Practice location
- 22 Tompkins St, Waterbury, CT 06708-1458
- Phone
- 203-419-0381
- Fax
- —
- Last updated
- July 26, 2018
Dillon Ivan is a Physical Therapy Assistant based in Waterbury, CT. Dillon Ivan practices in Waterbury, CT. The NPI Number for Dillon Ivan is 1053898510 and holds a License No. 1931 (CT). The current practice location address for Dillon Ivan is 22 Tompkins St, Waterbury, CT 06708-1458 and can be reached out via phone at 203-419-0381.
Provider Profile Details
- NPI Number
- 1053898510
- Provider Name
- Dillon Ivan
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22 Tompkins St, Waterbury, CT 06708-1458
- Phone Number
- 203-419-0381
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 26, 2018
- Last Update Date
- July 26, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Tompkins St
Waterbury, CT 06708-1458 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-1458
- Phone Number
- 203-419-0381
Provider Business Mailing Address Details
- Address
- 22 Tompkins St
Waterbury, CT 06708-1458 - City
- Waterbury
- State
- CT
- Zip
- 06708-1458
- Phone Number
- 203-419-0381
License Information
- License Number
- 1931
- License State
- CT
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dillon Ivan?
The NPI number of Dillon Ivan is 1053898510. It was assigned on July 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Dillon Ivan?
Dillon Ivan is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 1931.
Where does Dillon Ivan practice?
The practice location is 22 Tompkins St, Waterbury, CT 06708-1458. The office can be reached at 203-419-0381 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053898510 directly on the NPPES registry website.