Daria Monica Ivan, MSPT, COMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32755 Issued in CA

Practice address

540 Ralston Ave Ste B
Belmont, CA 94002-2866

Phone

(303) 971-0500

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1417619008

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Inner Bar, Inc.

  • Specialist
  • San Francisco, CA
  • NPI 1154470664

  Physical Therapist

  Medicare reassignment NPD
• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Morgan Hill, CA
  • NPI 1487317004

  Physical Therapist

  NPD
• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Redwood City, CA
  • NPI 1780347328
  NPD
• Advanced Physical Therapy of Englewood Inc

  • Physical Therapist
  • Englewood, FL
  • NPI 1336214865
  NPD (past)
• Advanced Physical Therapy of Palmetto Inc

  • Physical Therapist
  • Palmetto, FL
  • NPI 1952476400
  NPD (past)
• Advanced Physical Therapy of Venice Inc

  • Physical Therapist
  • Venice, FL
  • NPI 1902971427
  NPD (past)
• Loudoun Physical Therapy, Inc.

  • Physical Therapist
  • Leesburg, VA
  • NPI 1629128152
  NPD (past)
• Virginia Hospital Center Arlington Health System

  • Pharmacy
  • Arlington, VA
  • NPI 1790045052
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1164558607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CARLMONT DR APT 19",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023261",
            "telephone_number": "703-489-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RALSTON AVE STE B",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022866",
            "telephone_number": "303-971-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVAN",
        "first_name": "DARIA",
        "middle_name": "MONICA",
        "credential": "MSPT, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0018272",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203988",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Caroline Jackman, PT
• Marco A Jacobo, PA-C
• Patricia Diane Jacobs, LVN
• Adil K Jadallah, M.D.
• Pragya Jain, M.D.

• Physical Therapist in Belmont, CA
• Providers in Belmont, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.