Active NPIOrganization

Essex Physical Therapy

Physical Therapist in Andover, Massachusetts

NPI Number1699964742
Practice location
16 Haverhill St, Andover, MA 01810-3002
Fax
978-470-1408
Last updated
December 17, 2025

Essex Physical Therapy is a healthcare organization based in Andover, MA. Essex Physical Therapy practices in Andover, MA. The NPI Number for Essex Physical Therapy is 1699964742 and holds a License No. 18057 (MA). The current practice location address for Essex Physical Therapy is 16 Haverhill St, Andover, MA 01810-3002 and can be reached out via phone at 978-470-1499 and via fax at 978-470-1408.

Provider Profile Details

NPI Number
1699964742
Provider Name
Essex Physical Therapy
Provider Entity Type
Organization
Address
16 Haverhill St, Andover, MA 01810-3002
Phone Number
978-470-1499
Fax Number
978-470-1408
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Dr. Michael Louis Provenzano, DC DPT · Owner · 978-470-1499
Provider Enumeration Date
October 15, 2007
Last Update Date
December 17, 2025
Certification Date
December 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Haverhill St
Andover, MA 01810-3002
Zip
01810-3002
Phone Number
978-470-1499
Fax Number
978-470-1408
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
16 Haverhill St
Andover, MA 01810-3002
City
Andover
State
MA
Zip
01810-3002
Phone Number
978-470-1499
Fax Number
978-470-1408

License Information

License Number
18057
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Essex Physical Therapy?

The NPI number of Essex Physical Therapy is 1699964742. It was assigned on October 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Essex Physical Therapy?

Essex Physical Therapy is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 18057.

Where does Essex Physical Therapy practice?

The practice location is 16 Haverhill St, Andover, MA 01810-3002. The office can be reached at 978-470-1499 (phone) or 978-470-1408 (fax).

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 1699964742 directly on the NPPES registry website.

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