Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

C THOMAS PROVENZANO MPT
NPI 1548241995
Physical Therapist in Portland, OR

Active since November 10, 2005
9260 SE STARK ST, SUITE B, PORTLAND, OR 97216(503) 255-1500(503) 255-1560 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About C Thomas Provenzano Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

C THOMAS PROVENZANO MPT (NPI 1548241995) is an individual physical therapist in Portland, Oregon, licensed in Oregon (2227) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1548241995
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameC THOMAS PROVENZANOCredential: MPT
Location Address9260 SE STARK ST, SUITE BPortland, OR 97216-1675
Mailing Address6809 Ne Hancock StPortland, OR 97213-5343 · (503) 280-7346 · Fax (503) 255-1560
Fax(503) 255-1560
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1548241995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in OR · 2227
Definition
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, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
9260 SE STARK ST, Portland, OR 97216

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
9260 SE STARK ST
PORTLAND, OR 97216
Physical Therapist
9260 SE STARK ST, SUITE B
PORTLAND, OR 97216
Preferred Provider Organization
9260 SE STARK ST, SUITE B
PORTLAND, OR 97216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C Provenzano's NPI number?

The NPI number for C Provenzano is 1548241995. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is C Provenzano located?

C Provenzano practices at 9260 SE Stark St Suite B, Portland, OR 97216. The listed phone number is (503) 255-1500.

What is C Provenzano's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for C Provenzano was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.