Active NPIIndividual providerSole proprietor

Yelena Ivanov

Physical Therapy Assistant in Chester, Massachusetts

NPI Number1548701451
Practice location
509 Skyline Trl, Chester, MA 01011-9533
Fax
—
Last updated
March 10, 2017

Yelena Ivanov is a Physical Therapy Assistant based in Chester, MA. Yelena Ivanov practices in Chester, MA. The NPI Number for Yelena Ivanov is 1548701451 and holds a License No. 9026 (MA). The current practice location address for Yelena Ivanov is 509 Skyline Trl, Chester, MA 01011-9533 and can be reached out via phone at 904-887-6763.

Provider Profile Details

NPI Number
1548701451
Provider Name
Yelena Ivanov
Provider Entity Type
Individual
Gender
Female
Address
509 Skyline Trl, Chester, MA 01011-9533
Phone Number
904-887-6763
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
March 10, 2017
Last Update Date
March 10, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
509 Skyline Trl
Chester, MA 01011-9533
Zip
01011-9533
Phone Number
904-887-6763
Chester, MA 01011Get directions →

Provider Business Mailing Address Details

Address
509 Skyline Trl
Chester, MA 01011-9533
City
Chester
State
MA
Zip
01011-9533

License Information

License Number
9026
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Yelena Ivanov?

The NPI number of Yelena Ivanov is 1548701451. It was assigned on March 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Yelena Ivanov?

Yelena Ivanov is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9026.

Where does Yelena Ivanov practice?

The practice location is 509 Skyline Trl, Chester, MA 01011-9533. The office can be reached at 904-887-6763 (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 1548701451 directly on the NPPES registry website.

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