C Provenzano, MPT
NPI 1548241995 · Physical Therapist · Portland, OR
C Provenzano, MPT is a Physical Therapist provider in Portland, OR (NPI 1548241995).
Provider details
- NPI number
- 1548241995
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- License
- 2227 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is C Provenzano's NPI number?
- C Provenzano's National Provider Identifier (NPI) is 1548241995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is C Provenzano's specialty?
- C Provenzano is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is C Provenzano located?
- C Provenzano's practice location on file with NPPES is 9260 Se Stark St, Portland, OR 97216-1675.
- What is C Provenzano's phone number?
- The practice phone number listed in the NPPES registry for C Provenzano is (503) 255-1500.
- Is C Provenzano's NPI active?
- Yes — C Provenzano's NPI (1548241995) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.