Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
C THOMAS PROVENZANO, MPT
ActiveC THOMAS PROVENZANO, MPT is a Physical Therapy Assistant healthcare provider located in PORTLAND, Oregon. NPI 1548241995 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1548241995
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2005 (20.733780614882 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2227 (OR)
Practice Information
- Address
-
9260 SE STARK STSUITE BPORTLAND, OR, 972161675Browse OR providers · Browse ZIP 97216
- Phone
- 5032551500
- Fax
- 5032551560
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. JONI M. FISCHER-JONES | P.T | 1467459537 |
| MRS. SUZANNE M TREBNICK | P.T. | 1417954561 |
| MR. PATRICK C. PUA | P.T. | 1699772764 |
| MRS. NANCY UNGOCO | PT | 1780683318 |
| MR. LEO FRANCIS QUINN JR. | PT | 1245230952 |
| MR. JAMES ROBERT WEGGENMAN | PT | 1134129703 |
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.