Essex Physical Therapy
NPI 1699964742ActiveOrganization· Physical Therapist· Andover, MA
Physical Therapist in Andover, Massachusetts, registered in NPPES in October 2007. The authorized official on file is Michael Louis Provenzano, DC DPT, Owner.
Overview
| NPI | 1699964742 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 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 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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