Individual provider · Type 1 NPI
C Thomas Provenzano, MPT
Physical Therapist · Portland, OR
Practice location
9260 SE Stark St, Suite B
Portland, OR 97216-1675
Fax (503) 255-1560
Mailing address
6809 NE Hancock St
Portland, OR 97213-5343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist Primary | 225100000X | 2227 (OR) |
Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…
3 other providers at this address
Other physical therapist providers in Portland
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- Molly Anne Bredenberg, PTPhysical Therapist Portland, OR NPI 1003028978
- David Genco Jr., DPTPhysical Therapist Portland, OR NPI 1003334392
- Ariel Witkin, PTPhysical Therapist Portland, OR NPI 1003462680
- Brian Carper, DPTPhysical Therapist Portland, OR NPI 1003546482
- Lane WilliamsPhysical Therapist Portland, OR NPI 1003557349
- Olivia Aho, DPTPhysical Therapist Portland, OR NPI 1003669292
About NPI 1548241995
C Thomas Provenzano, MPT's National Provider Identifier is 1548241995, issued on Nov 10, 2005. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.