Jonathan Michael Provost, PT, DPT, SCS
NPI 1619377751ActiveIndividual· Physical Therapist· Hadley, MA
Physical Therapist (PT, DPT, SCS) in Hadley, Massachusetts, licensed in MA, with an NPI issued in August 2014.
Overview
| NPI | 1619377751 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, SCS |
| Sole proprietor | No |
| NPI issued | Aug 26, 2014 |
| Last updated in NPPES | Oct 31, 2022 |
| Certified by provider | Oct 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 21309 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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