Essex Chiropractic & Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ESSEX CHIROPRACTIC & PHYSICAL THERAPY, LLC

Practice address

16 Haverhill St
Andover, MA 01810-3002

Phone

(978) 470-1499

Fax

(978) 470-1408

NPI assigned

Jul 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Louis Provenzano, D.C.,D.P.TNPI 1225157423

Title

Owner

Phone

(978) 470-1499

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Essex Chiropractic Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Essex Physical Therapy

  • Physical Therapist
  • Andover, MA
  • NPI 1699964742
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Louis Provenzano, D.C.,D.P.T

  • Physical Therapist
  • Andover, MA
  • NPI 1225157423

  Chiropractor

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1245469477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103002",
            "telephone_number": "978-470-1499",
            "fax_number": "978-470-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103002",
            "telephone_number": "978-470-1499",
            "fax_number": "978-470-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX CHIROPRACTIC & PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "PROVENZANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-470-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,D.P.T"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eone Medical PLLC
• Eone Medical Subsidiary PLLC
• Joseph Erickson, LICSW
• Kimberly N Erskine, P.T.
• Kathryn Diane Erwin, PHARM.D.
• Essex Home Health LLC
• Essex Medical Supplies
• Essex Orthopaedics DME
• Essex Orthopaedics Inc.
• Essex Physical Therapy

• Physical Therapist in Andover, MA
• Providers in Andover, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.