TREVOR M PROVENCHER DPT, PT
NPI 1992590822
Physical Therapist in Bandera, TX

Active since April 11, 2025Accepts Medicare Assignment
3456 STATE HIGHWAY 16 SOUTH, BANDERA, TX 78003(830) 796-3447(830) 796-3685 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Apr 11, 2025 (2 updates tracked since 2025).

About Trevor M Provencher Dpt, Pt NPPES

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

TREVOR M PROVENCHER DPT, PT (NPI 1992590822) is an individual physical therapist in Bandera, Texas, licensed in Texas (1406842) and active in the NPI registry since April 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1992590822
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTREVOR M PROVENCHERCredential: DPT, PT
Location Address3456 STATE HIGHWAY 16 SOUTHBandera, TX 78003
Mailing Address12952 Bandera Rd Ste 107Helotes, TX 78023-4733 · (830) 796-3447 · Fax (830) 796-3685
Fax(830) 796-3685
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 11, 2025
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
NPI 1992590822 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 in TX · 1406842
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.
3456 STATE HIGHWAY 16 SOUTH, Bandera, TX 78003

Accepted 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

Trevor M Provencher Dpt, Pt 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 ID5395257380
PECOS Enrollment IDI20250625001588

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78003 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 3

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

Physical Therapist
3456 STATE HIGHWAY 16 SOUTH
BANDERA, TX 78003
Physical Therapist
3456 STATE HIGHWAY 16 SOUTH
BANDERA, TX 78003
Physical Therapist
3456 STATE HIGHWAY 16 SOUTH
BANDERA, TX 78003

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 Trevor Provencher's NPI number?

The NPI number for Trevor Provencher is 1992590822. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Trevor Provencher located?

Trevor Provencher practices at 3456 State Highway 16 South, Bandera, TX 78003. The listed phone number is (830) 796-3447.

What is Trevor Provencher's specialty?

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

Is Trevor Provencher enrolled in Medicare?

Yes. Trevor Provencher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Trevor Provencher accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Trevor Provencher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trevor Provencher was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.