DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS) – Physical Therapist, NPI 1619377751

DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS) is a healthcare provider. based in Storrs, Connecticut. specializing in Physical Therapist. They hold the professional credentials PT, DPT, SCS. They hold a License No. 21309 (MA). The NPI Number for DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS) is 1619377751

Main info

Male
Name
DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS)
NPI
1619377751
Phone
(860) 429-0899
Address
9 DOG LN STE 108
Enumeration Date
26 August 2014
Last Update Date
31 October 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS)

  • 9 DOG LN STE 108

    STORRS, CT 062682239

    Phone: (860) 429-0899

    Type: Mailing

  • 241 RUSSELL ST

    HADLEY, MA 010359558

    Phone: (413) 586-5552

    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

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06268)

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Frequently asked questions

What is DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS)'s NPI number?
DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS)'s NPI is 1619377751 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS)?
For scheduling context, DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS) is shown as active in the registry.
What area of care is associated with DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS)?
DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS)?
Directory geography for DR. JONATHAN MICHAEL PROVOST (PT, DPT, SCS) centers on Storrs, Connecticut.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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