Dr. Jonathan M Provost, PT, DPT, SCS
Physical Therapist in Hadley, Massachusetts
1619377751- Practice location
- 241 Russell St, Hadley, MA 01035-9558
- Phone
- 413-586-5552
- Fax
- —
- Last updated
- October 31, 2022
Jonathan Michael Provost is a Physical Therapist based in Hadley, MA. Jonathan Michael Provost practices in Hadley, MA and has the professional credentials of PT, DPT, SCS. The NPI Number for Jonathan Michael Provost is 1619377751 and holds a License No. 21309 (MA). The current practice location address for Jonathan Michael Provost is 241 Russell St, Hadley, MA 01035-9558 and can be reached out via phone at 413-586-5552.
Provider Profile Details
- NPI Number
- 1619377751
- Provider Name
- Jonathan Michael Provost
- Credential
- PT, DPT, SCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 241 Russell St, Hadley, MA 01035-9558
- Phone Number
- 413-586-5552
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 26, 2014
- Last Update Date
- October 31, 2022
- Certification Date
- October 31, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 241 Russell St
Hadley, MA 01035-9558 - City
- Hadley
- State
- Massachusetts
- Zip
- 01035-9558
- Phone Number
- 413-586-5552
Provider Business Mailing Address Details
- Address
- 241 Russell St
Hadley, MA 01035-9558 - City
- Hadley
- State
- MA
- Zip
- 01035-9558
- Phone Number
- 413-586-5552
License Information
- License Number
- 21309
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan M Provost, PT, DPT, SCS?
The NPI number of Dr. Jonathan M Provost, PT, DPT, SCS is 1619377751. It was assigned on August 26, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan M Provost, PT, DPT, SCS?
Dr. Jonathan M Provost, PT, DPT, SCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 21309.
Where does Dr. Jonathan M Provost, PT, DPT, SCS practice?
The practice location is 241 Russell St, Hadley, MA 01035-9558. The office can be reached at 413-586-5552 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619377751 directly on the NPPES registry website.