Derek Provencher, PT, DPT
NPI 1114609245 · Physical Therapist · Tampa, FL
Derek Provencher, PT, DPT is a Physical Therapist provider in Tampa, FL (NPI 1114609245).
Provider details
- NPI number
- 1114609245
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PTT40333
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Frequently asked questions
- What is Derek Provencher's NPI number?
- Derek Provencher's National Provider Identifier (NPI) is 1114609245, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Provencher's specialty?
- Derek Provencher is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Derek Provencher located?
- Derek Provencher's practice location on file with NPPES is 16037b Tampa Palms Blvd W, Tampa, FL 33647-2001.
- What is Derek Provencher's phone number?
- The practice phone number listed in the NPPES registry for Derek Provencher is (813) 542-8188.
- Is Derek Provencher's NPI active?
- Yes — Derek Provencher's NPI (1114609245) is active in the NPPES registry as of the last update on 2023-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.