JOHANNA CAROLINE PROVENCHER DPT
NPI 1508481938
Physical Therapist in Gulf Breeze, FL

Q: What is Johanna Provencher's NPI number?

The NPI number for Johanna Provencher is 1508481938. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Q: What is Johanna Provencher's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Active since June 11, 2020Accepts Medicare Assignment

1040 GULF BREEZE PKWY STE 200, GULF BREEZE, FL 32561(850) 916-3700 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2021, Jun 11, 2020 (2 updates tracked since 2020).

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About Johanna Caroline Provencher Dpt NPPES

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

JOHANNA CAROLINE PROVENCHER DPT (NPI 1508481938) is an individual physical therapist in Gulf Breeze, Florida, licensed in Florida (PT40856) and active in the NPI registry since June 2020. She maintains 5 additional practice locations and is a graduate of Mercy College (2020).

NPPES Registry Identity

NPI1508481938

Entity TypeIndividualFemale

Primary Taxonomy225100000X

Provider Legal NameJOHANNA CAROLINE PROVENCHERCredential: DPT

Location Address1040 GULF BREEZE PKWY STE 200Gulf Breeze, FL 32561-7808

Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725

Phone(850) 916-3700

Sole ProprietorNo

Medical School CMSMercy CollegeGraduated 2020

Enumeration DateJune 11, 2020

Last NPPES UpdateJanuary 11, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2024

✔ NPI 1508481938 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

Licenses✔ Licensed in FL · PT40856✔ Licensed in NC · P19565

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.

1040 GULF BREEZE PKWY STE 200, Gulf Breeze, FL 32561

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Secondary Practice Locations 5

Location 14012 N 9th Ave # Pod3Pensacola, FL 32503-2824 · Phone (850) 807-4200 · Fax (850) 916-8499

Location 21040 Gulf Breeze Pkwy Ste 207Gulf Breeze, FL 32561-7808 · Phone (850) 916-3700 · Fax (850) 916-3710

Location 34406 N Davis HwyPensacola, FL 32503-2756 · Phone (850) 435-4800 · Fax (850) 807-5209

Location 45660 Gulf Breeze Pkwy Ste A-1Gulf Breeze, FL 32563-9599 · Phone (850) 916-3700 · Fax (850) 916-3726

Location 51040 Gulf Breeze Pkwy Ste 209Gulf Breeze, FL 32561-7808 · Phone (850) 916-3700 · Fax (850) 916-3710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johanna Caroline Provencher Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587087762

PECOS Enrollment IDI20240131003335

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

327 services63 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

231 services58 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

144 services46 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

140 services39 patients

Therapy procedure in a group setting 97150

Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.

131 services55 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32561 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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