Provencher Physical Therapy, Inc.
NPI 1225358310 · Physical Therapy Clinic/Center · Waterbury, VT
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provencher Physical Therapy, Inc. is a Physical Therapy Clinic/Center organization in Waterbury, VT (NPI 1225358310).
Provider details
- NPI number
- 1225358310
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Provencher, Owner(802) 324-5138
- License
- 040-0002724 (VT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Other names (DBA / former)
- Doing business as
- Family Physcial Therapy
Registry dates
- Enumerated
- 2010-06-11
- Last updated
- 2010-06-11
Frequently asked questions
- What is Provencher Physical Therapy, Inc.'s NPI number?
- Provencher Physical Therapy, Inc.'s National Provider Identifier (NPI) is 1225358310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provencher Physical Therapy, Inc.?
- Provencher Physical Therapy, Inc. is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Provencher Physical Therapy, Inc. located?
- Provencher Physical Therapy, Inc.'s practice location on file with NPPES is 137 S Main St, Waterbury, VT 05676-1579.
- What is Provencher Physical Therapy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Provencher Physical Therapy, Inc. is (802) 244-1140.
- Does Provencher Physical Therapy, Inc. accept Medicare?
- Provencher Physical Therapy, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Provencher Physical Therapy, Inc.?
- The authorized official listed on Provencher Physical Therapy, Inc.'s NPPES record is Kathleen Provencher, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provencher Physical Therapy, Inc.'s NPI active?
- Yes — Provencher Physical Therapy, Inc.'s NPI (1225358310) is active in the NPPES registry as of the last update on 2010-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.