Matthew V Provenzano (NPI# 1295004356, PAC ID# 0345403226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1295004356 |
| PAC ID by PECOS | 0345403226 |
| Professional Enrollment ID | I20120514000436 |
| Full Name | Matthew V Provenzano |
| Organization Legal Name | MCM REHABILITATION LLC |
| Address |
1700 Broad St Suite 120 Chattanooga TN 37408-1834 |
| Phone Number | 4233086988 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5294798336 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1700 Broad St, Suite 120, Chattanooga, TN 37408-1834 | 4233086988 | MCM REHABILITATION LLC |
| Organization Legal Name | MCM REHABILITATION LLC |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Labovich | Physical Therapy | Mcm Rehabilitation LLC | 9408 Apison Pike, Suite 150, Ooltewah, TN 37363-5978 |
| Cassandra Marie Haslett-rogers | Physical Therapy | Mcm Rehabilitation LLC | 222 Sequoyah Rd, Suite 4, Soddy Daisy, TN 37379-5154 |
| Lindsay Michelle Guth | Physical Therapy | Mcm Rehabilitation LLC | 250 Signal Mountain Rd, Suite 1, Chattanooga, TN 37405-1914 |
| Timothy Jordan | Physical Therapy | Mcm Rehabilitation LLC | 1515 Gunbarrel Rd, Suite 129, Chattanooga, TN 37421-0001 |
| Bruce Nicoara | Physical Therapy | Mcm Rehabilitation LLC | 375 Kelsey Ln, Suite 2, Lenoir City, TN 37772-6475 |
| Jason D Jones | Physical Therapy | Mcm Rehabilitation LLC | 3309 Cummings Hwy D, Chattanooga, TN 37419-2376 |
| Matthew Douglas | Physical Therapy | Mcm Rehabilitation LLC | 1808 Decatur Pike, Suite 20, Athens, TN 37303-4984 |
| Corrie Martin Large | Physical Therapy | Mcm Rehabilitation LLC | 2125 Northpoint Blvd, Hixson, TN 37343-4072 |
| Phyllis L Peterson | Physical Therapy | Mcm Rehabilitation LLC | 3112 Ocoee St N, Cleveland, TN 37312-5382 |
| Matthew Murray | Physical Therapy | Mcm Rehabilitation LLC | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 |
| Street Address |
1700 BROAD ST SUITE 120 |
| City | CHATTANOOGA |
| State | TN |
| Zip | 37408-1834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent Wayne Gardner | General Surgery | 1405 Cowart St, Suite 321, Chattanooga, TN 37408-1127 | |
| Amber Smith | Nurse Practitioner | Memorial Health Partners Foundation, Inc | 320 E Main St, Suite 200, Chattanooga, TN 37408-1318 |
| Patrick Wortman | Registered Dietitian Or Nutrition Professional | Memorial Health Partners Foundation, Inc | 320 E Main St, Suite 200, Chattanooga, TN 37408-1318 |
| Rebecca A Wykle | Physical Therapy | Core Fitness and Physical Therapy, Pllc | 1819 Broad St, Suite 107, Chattanooga, TN 37408-1706 |
| Marie Miller Howell | Physical Therapy | Core Fitness and Physical Therapy, Pllc | 1819 Broad St, Suite 107, Chattanooga, TN 37408-1706 |
| Allison Y Stowers | Physical Medicine and Rehabilitation | Core Fitness and Physical Therapy, Pllc | 1819 Broad St, Suite 107, Chattanooga, TN 37408-1706 |
| Vicky Baltz | Clinical Social Worker | 3085 Broad St A, Chattanooga, TN 37408-3089 | |
| Tameika S Turner-noland | Psychologist, Clinical | 3097 Broad St, Chattanooga, TN 37408-3093 |
| City | CHATTANOOGA |
| Zip Code | 37408 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CHATTANOOGA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Matthew V Provenzano.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.