Johanna Provencher, DPT
NPI 1508481938 · Physical Therapist · Gulf Breeze, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johanna Provencher, DPT is a Physical Therapist provider in Gulf Breeze, FL (NPI 1508481938).
Provider details
- NPI number
- 1508481938
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT40856 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
991 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 327 | $22 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 231 | $28 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 144 | $20 |
| Therapy Procedure Using Functional Activities97530 | 140 | $34 |
| Therapy Procedure in a Group Setting97150 | 131 | $14 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 18 | $96 |
Practice location
Mailing address
Additional practice locations (5)
- 1040 Gulf Breeze Pkwy Ste 207Gulf Breeze, FL 32561-7808Phone: (850) 916-3700Fax: (850) 916-3710
- 1040 Gulf Breeze Pkwy Ste 209Gulf Breeze, FL 32561-7808Phone: (850) 916-3700Fax: (850) 916-3710
- 5660 Gulf Breeze Pkwy Ste A-1Gulf Breeze, FL 32563-9599Phone: (850) 916-3700Fax: (850) 916-3726
- 4012 N 9th Ave # Pod3Pensacola, FL 32503-2824Phone: (850) 807-4200Fax: (850) 916-8499
- 4406 N Davis HwyPensacola, FL 32503-2756Phone: (850) 435-4800Fax: (850) 807-5209
Registry dates
- Enumerated
- 2020-06-11
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Frequently asked questions
- What is Johanna Provencher's NPI number?
- Johanna Provencher's National Provider Identifier (NPI) is 1508481938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johanna Provencher's specialty?
- Johanna Provencher is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Johanna Provencher located?
- Johanna Provencher's practice location on file with NPPES is 1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, FL 32561-7808.
- What is Johanna Provencher's phone number?
- The practice phone number listed in the NPPES registry for Johanna Provencher is (850) 916-3700.
- Does Johanna Provencher accept Medicare?
- Johanna Provencher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Johanna Provencher's NPI active?
- Yes — Johanna Provencher's NPI (1508481938) is active in the NPPES registry as of the last update on 2024-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.