DR. MICHAEL LOUIS PROVENZANO (D.C.,D.P.T) – Physical Therapist, NPI 1225157423
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA
Provider Addresses for DR. MICHAEL LOUIS PROVENZANO (D.C.,D.P.T)
493 ESSEX ST
LAWRENCE, MA 018401241
Phone: (978) 686-7111
Fax: (978) 686-5502
Type: Mailing
16 HAVERHILL ST
ANDOVER, MA 018103002
Phone: (978) 470-1499
Fax: (978) 470-1408
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060427000612 | I | Chiropractic | MA | TBD |
| I20071009000703 | I | Physical Therapist In Private Practice | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,872 | 85 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 1,352 | 102 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 421 | 60 | $0 |
| 97032 | Application of electrical stimulation with therapist present, each 15 minutes | 383 | 49 | $0 |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | 120 | 65 | $0 |
Insurance plans in this area (ZIP 01840)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CHIROPRACTIC | MA | 97001 | Physical therapy evaluation | 50 | 50 |
| CHIROPRACTIC | MA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1615 | 87 |
| CHIROPRACTIC | MA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 963 | 89 |
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