Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW PROVENCE PROVENCE, DPT,PT
Active Sole ProprietorMR. MATTHEW PROVENCE PROVENCE, DPT,PT is a Physical Therapy Assistant healthcare provider located in MONTGOMERY, Alabama. NPI 1720704216 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MONTGOMERY, AL
Registration Details
- NPI Number
- 1720704216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2022 (3.7918080942803 yrs)
- Last Updated
- Oct 17, 2022
- License
-
PTH11015 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
464 SAINT LUKES DRMONTGOMERY, AL, 361177104Browse AL providers · Browse ZIP 36117
- Phone
- 3342446699
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MONTGOMERY, AL
| Name | Credential | NPI |
|---|---|---|
| JEREMY ALAN KOVACS | DPT, OCS | 1194715151 |
| VIRGINIA A STEWART | PT | 1477511210 |
| MS. AMELIA G BARNES | MSPT | 1184676512 |
| MS. TIFFANY B HIGGINBOTHAM | MSPT | 1053363382 |
| CARRI ANNETTE CARPENTER | PT | 1275574030 |
| ROBERT KOHN JR. | P.T. | 1003858689 |
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.