Essex Chiropractic & Physical Therapy, LLC
NPI 1245469477ActiveOrganization· Physical Therapist· Andover, MA
Physical Therapist in Andover, Massachusetts, registered in NPPES in July 2009. The authorized official on file is Michael Louis Provenzano, D.C.,D.P.T, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245469477 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2009 |
| Last updated in NPPES | Dec 17, 2025 |
| Certified by provider | Dec 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Chiropractor | 111N00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (MA) |
|---|
Other physical therapists in Andover
- 1033177720
- 1134354582
- 1225157423
- 1295466811
- 1417372830
- 1477144657
- 1497464937
- 1699964742
- 1730808122
- 1225437056
- 1376017004
- 1376479881
All 56 physical therapists in Andover · All physical therapists in Massachusetts