Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Michael Louis Provenzano, D.C.,D.P.T
Physical Therapist in Andover, MA · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1225157423
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Registry record
Entity type Individual (Type 1)
Name Dr. Michael Louis Provenzano
Credential D.C.,D.P.T
Sex Male
Practice address 16 Haverhill St, Andover, MA, 01810
Phone (978) 470-1499
Fax (978) 470-1408
Enumeration date Mar 28, 2007
Last updated in NPPES Dec 17, 2025
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 18057 (MA) Primary
DC · Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders.
About the DC credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4400518 | Other | MA | UNITED HEALTH CARE |
| 657211 | Other | MA | HARVARD NON PRACTICE |
| Y36610 | Other | MA | BLUE CROSS |
| 0017863 | Other | MA | NEIGHBORHOOD HEALTH |
| B2008591-01 | Other | MA | CIGNA |
| 99428401 | Other | MA | NETWORK HEALTH |
| 3345755 | Other | MA | AETNA |
| AA42230 | Other | MA | HARVARD PILGRIM |
| Y39894 | Other | MA | BLUE CROSS |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Michael Provenzano practice?
The practice location on file with NPPES is in Andover, MA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michael Provenzano?
The National Provider Identifier (NPI) for Michael Provenzano is 1225157423, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-17.