Johanna Caroline Provencher, DPT - Medicare Physical Therapist in Gulf Breeze, FL

Johanna Caroline Provencher, DPT is a medicare enrolled "Physical Therapist" provider in Gulf Breeze, Florida. Her current practice location is 1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 916-3700.

Johanna Caroline Provencher is licensed to practice in Florida (license number PT40856) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508481938.

Contact Information

Johanna Caroline Provencher, DPT
1040 Gulf Breeze Pkwy Ste 200,
Gulf Breeze, FL 32561-7808
(850) 916-3700
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJohanna Caroline Provencher
GenderFemale
Speciality
Experience Years
Location1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johanna Caroline Provencher attended and graduated from in
  NPI Data:
  • NPI Number: 1508481938
  • Provider Enumeration Date: 06/11/2020
  • Last Update Date: 01/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Johanna Caroline Provencher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508481938NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT40856 (Florida)Primary
225100000XPhysical Therapist P19565 (North Carolina)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johanna Caroline Provencher is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johanna Caroline Provencher, DPT
11945 San Jose Blvd Ste 300,
Jacksonville, FL 32223-1627

Ph: (904) 396-1725
Johanna Caroline Provencher, DPT
1040 Gulf Breeze Pkwy Ste 200,
Gulf Breeze, FL 32561-7808

Ph: (850) 916-3700

Reviews and Comments


Physical Therapist in Gulf Breeze, FL

Mrs. Jessica Mason Hosford, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Lighthouse Ct, Gulf Breeze, FL 32563
Phone: 407-493-3815    
Meagan Peluso, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3428 Gulf Breeze Pkwy, Gulf Breeze, FL 32563
Phone: 850-932-2655    
Mrs. Holly Mcduff,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1590 Woodbluff Ct, Gulf Breeze, FL 32563
Phone: 850-476-0628    Fax: 850-475-1313
Aegis Group Practice Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 50 Joachim Drive, Gulf Breeze, FL 32561
Phone: 800-444-6545    
Mrs. Diane C. Dejean, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1153 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
Phone: 850-932-9223    Fax: 850-934-0654
Dr. Benjamin James Lockhart, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4410 Gulf Breeze Pkwy, Gulf Breeze, FL 32563
Phone: 850-749-5215    
Miss Serena Dunham, PHYSICAL THERAPIST
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1040 Gulf Breeze Pkwy, Firstrehab, Gulf Breeze, FL 32561
Phone: 850-942-2180    Fax: 850-934-4181

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.