Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonathan Michael Provost, PT, DPT, SCS

Individual provider Physical Therapist · NPI 1619377751

Dr. Jonathan Michael Provost, PT, DPT, SCS is a Physical Therapist in Hadley, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.

Licensed in
MA
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

241 Russell St
Hadley, MA 01035-9558
Phone: (413) 586-5552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 21309 (MA)

Record details

NPI number1619377751
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , SCS
Sole proprietorNo
NPI enumeratedAugust 26, 2014
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022

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