Michael Louis Provenzano, D.C.,D.P.T
NPI 1225157423ActiveIndividual· Physical Therapist· Andover, MA
Physical Therapist (D.C.,D.P.T) in Andover, Massachusetts, trained at New York Chiropractic College (class of 1996). Medicare paid $122,981 for services to 114 patients in 2024.
Overview
| NPI | 1225157423 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C.,D.P.T |
| Sole proprietor | No |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Dec 17, 2025 |
| Certified by provider | Dec 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 18057 | MA |
| Chiropractor | 111N00000X | 2154 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (MA); Practitioner - Physical Therapist in Private Practice (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 6,291 across 11 procedure codes |
| Paid by Medicare | $122,981 |
Education and affiliations
| Medical school | New York Chiropractic College |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Physical Therapist In Private Practice |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 56 physical therapists in Andover · All physical therapists in Massachusetts