DEREK MARC PROVENCHER PT, DPT
NPI 1114609245
Physical Therapist in Tampa, FL

Active since August 07, 2023
16037B TAMPA PALMS BLVD W, TAMPA, FL 33647(813) 542-8188 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2023, Aug 7, 2023 (2 updates tracked since 2023).

About Derek Marc Provencher Pt, Dpt NPPES

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

DEREK MARC PROVENCHER PT, DPT (NPI 1114609245) is an individual physical therapist in Tampa, Florida, licensed in (PTT40333) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1114609245
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDEREK MARC PROVENCHERCredential: PT, DPT
Location Address16037B TAMPA PALMS BLVD WTampa, FL 33647-2001
Mailing Address9309 Persimmon Brook Trl Apt 215Thonotosassa, FL 33592-3963
Sole ProprietorNo
Enumeration DateAugust 7, 2023
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1114609245 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 · PTT40333
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.
16037B TAMPA PALMS BLVD W, Tampa, FL 33647

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 Derek Provencher's NPI number?

The NPI number for Derek Provencher is 1114609245. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Derek Provencher located?

Derek Provencher practices at 16037B Tampa Palms Blvd W, Tampa, FL 33647. The listed phone number is (813) 542-8188.

What is Derek Provencher'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 Derek Provencher was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.