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

Seraphina Provenzano, DPT

Individual provider Physical Therapist · NPI 1053049510

Seraphina Provenzano, DPT is a Physical Therapist in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

5500 Auto Club Dr
Dearborn, MI 48126-2779
Phone: (313) 982-8266
Fax: (313) 982-8098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501301928 (MI)

Record details

NPI number1053049510
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

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