Kaitlyn Ivanov, PT
NPI 1275967713 · Physical Therapist · Portsmouth, NH
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1275967713
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 4317 (NH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,929 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 1,109 | $21 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 511 | $25 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 119 | $28 |
| Application of Ultrasound, Each 15 Minutes97035 | 103 | $10 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 61 | $95 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 13 | $95 |
Practice location
Mailing address
Additional practice locations (2)
- 24 Stickney Ter Unit 5Hampton, NH 03842-4902Phone: (603) 926-7369Fax: (603) 431-4200
- 12 Portwalk PlPortsmouth, NH 03801Phone: (603) 431-4200Fax: (603) 431-4202
Registry dates
- Enumerated
- 2013-08-31
- Last updated
- 2019-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.