Active NPI
Frank Edward Ivan III, P.T.
- Physical Therapist
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206758
- Practice address
- 2650 S Pleasant Valley Rd
Winchester, VA 22601-6518 - Phone
- (540) 228-1941
- NPI assigned
- Jan 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004477 | WV | |
| Physical Therapist | 225100000X | 2305206758 | VA | Primary |
Addresses
Primary practice location
2650 S Pleasant Valley Rd
Winchester, VA 22601-6518
Mailing address
296 Big Timber Rd
Capon Bridge, WV 26711-8943
Phone (304) 860-5366
Other practice location 1
13857 Apple Harvest Dr
Martinsburg, WV 25403-6199
Phone (681) 248-5384
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K949 - 0077 | Other | VA | CAREFIRST |
| 2307001197 | Other | VA | DIRECT ACCESS CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, WV
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11662 Sudley Manor Dr
50B
Manassas, VA 20109-2842
Phone (571) 321-5720
2650 S Pleasant Valley Rd
Winchester, VA 22601-6518
Phone (540) 228-1941
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.48 of 100
- Quality
- 86.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004477 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
| Alliance Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
| Oracle Heart & Vascular, Inc. | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500
11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
2650 S Pleasant Valley Rd
Winchester, VA 22601
Phone (540) 228-1941
13857 Apple Harvest Dr
Martinsburg, WV 25403
Phone (304) 267-8604
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFHEAD
Organizations & group practices 10
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.
-
dba Pivot Physical Therapy of Metro DC
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, Physical Therapist
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
-
- Physical Therapist
- Hampton, VA
- NPI 1740215250
-
dba Alliance Physical Therapy
- Physical Therapist
- Herndon, VA
- NPI 1770799041
-
- Interventional Cardiology Physician
- Fredericksburg, VA
- NPI 1972924520
-
dba Pivot Physical Therapy
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733529600000",
"number": "1730485376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 BIG TIMBER RD",
"city": "CAPON BRIDGE",
"state": "WV",
"postal_code": "267118943",
"telephone_number": "304-860-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 S PLEASANT VALLEY RD",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016518",
"telephone_number": "540-228-1941"
}
],
"practiceLocations": [
{
"address_1": "13857 Apple Harvest Dr",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "254036199",
"country_code": "US",
"telephone_number": "681-248-5384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVAN",
"first_name": "FRANK",
"middle_name": "EDWARD",
"name_suffix": "III",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-30",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "004477",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "K949 - 0077",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIRECT ACCESS CERTIFICATION",
"identifier": "2307001197",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.