Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL LOUIS PROVENZANO, D.C.,D.P.T
ActiveDR. MICHAEL LOUIS PROVENZANO, D.C.,D.P.T is a Physical Therapy Assistant healthcare provider located in ANDOVER, Massachusetts. NPI 1225157423 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ANDOVER, MA
Registration Details
- NPI Number
- 1225157423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2007 (19.338157757414 yrs)
- Last Updated
- Dec 17, 2025
- Licenses
-
18057 (MA)2154 (MA)
Practice Information
- Address
-
16 HAVERHILL STANDOVER, MA, 018103002Browse MA providers · Browse ZIP 01810
- Phone
- 9784701499
- Fax
- 9784701408
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Chiropractor
Other Physical Therapy Assistant Providers in ANDOVER, MA
| Name | Credential | NPI |
|---|---|---|
| PAULA ANDREJKO | PT | 1679634422 |
| VICTORIA TAYLOR | PT | 1053445023 |
| CHERIE MARS | PT | 1083739304 |
| MRS. MARY LESLIE COLOMBO | PT | 1154440865 |
| MRS. ROBIN L TAYLOR | P.T. | 1851593909 |
| ERIC D YOUNG | PT | 1407037963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.