Doctor profile · Federal record
Dr. Johanna Provencher, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Gulf Breeze, FL
- NPI 1508481938
- Accepts Medicare
- 6 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 6 locations .
- Primary practice
-
1040 Gulf Breeze Pkwy Ste 200
Gulf Breeze, FL 325617808
(850) 916-3700 - Additional location
-
1040 Gulf Breeze Pkwy Ste 207
Gulf Breeze, FL 325617808
fax (850) 916-3710 - Additional location
-
1040 Gulf Breeze Pkwy Ste 209
Gulf Breeze, FL 325617808
fax (850) 916-3710 - Additional location
-
4012 N 9Th Ave # Pod3
Pensacola, FL 325032824
(850) 807-4200
fax (850) 916-8499 - Additional location
-
4406 N Davis Hwy
Pensacola, FL 325032756
(850) 435-4800
fax (850) 807-5209 - Additional location
-
5660 Gulf Breeze Pkwy Ste A-1
Gulf Breeze, FL 325639599
fax (850) 916-3726 - Mailing address
-
11945 San Jose Blvd Ste 300
Jacksonville, FL 322231627
Show 3 more locations
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Profile last updated
- January 11, 2024
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- Florida #PT40856 · North Carolina #P19565
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508481938. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,214
Distinct HCPCS
6
Medicare allowed
$30,279
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 356 | 62 | $25 | |
97530 |
Therapy procedure using functional activities | 293 | 64 | $32 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 280 | 49 | $20 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 161 | 48 | $20 | |
97150 |
Therapy procedure in a group setting | 103 | 39 | $13 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 21 | 20 | $82 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 733. This provider delivers 1.7× the peer median.Frequently asked questions
What is Dr. Johanna Provencher's medical specialty?
Dr. Johanna Provencher practices Physical Therapist in Gulf Breeze, FL.
Where does Dr. Johanna Provencher practice?
Dr. Johanna Provencher practices at 1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, FL 325617808. Office phone: 8509163700.
What is Dr. Johanna Provencher's NPI?
Dr. Johanna Provencher's National Provider Identifier (NPI) is 1508481938, issued by NPPES.
Does Dr. Johanna Provencher accept Medicare assignment?
Yes. Dr. Johanna Provencher accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Johanna Provencher commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.