Andrew J Provost, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1 Braintree St St
Allston, MA 02134-1956

Phone

(617) 787-8700

Fax

(617) 787-8106

NPI assigned

May 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT in CadenceGroup PAC ID 5890235949, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PT in Cadence

  • Physical Therapist
  • Watertown, MA
  • NPI 1639911407
  Medicare reassignment Care Compare group NPD Authorized official
• Boston Sports Medicine Inc

  • Physical Therapist
  • Allston, MA
  • NPI 1245217546
  Medicare reassignment NPD
• Integrated Rehabilitation Services Limited Partnership

  • Physical Therapist
  • Vernon, CT
  • NPI 1346969532
  NPD (past)
• Integrated Rehabilitation Services, LLC

  • Physical Therapist
  • Vernon, CT
  • NPI 1104867951
  NPD (past)

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1962795583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRAINTREE ST ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341956",
            "telephone_number": "617-787-8700",
            "fax_number": "617-787-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRAINTREE ST ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341956",
            "telephone_number": "617-787-8700",
            "fax_number": "617-787-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis John Pisano
• Andria Krista Pizzi
• Allyssa Nicole Pontes
• Camilla D Potter, M.D.
• Ryan Marcus Powdrell
• India Pulido, MS
• Alisha Purakayastha
• Steven Quintiliani, PSY.D.
• Lucy Radovinsky
• Marycilene Raftery Ramirez, MSC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.