Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew V Provenzano, PT

Individual provider Physical Therapist · NPI 1295004356

Matthew V Provenzano, PT is a Physical Therapist in Private Practice in Hixson, Tennessee. Qualified in 2008, 18 years ago. Practices with Summit Physical Therapy, LLC, a 24-clinician group and accepts Medicare assignment.

Years since qualifying
18
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1790 Hamill Rd
Hixson, TN 37343-4905
Phone: (423) 771-4600
Fax: (866) 591-0619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1295004356
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 19, 2011
Last updated in NPPESDecember 19, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Summit Physical Therapy, Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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