Trevor M Provencher, DPT, PT

Physical therapist in Bandera, Texas · NPI 1992590822

Trevor Provencher is one of 4 physical therapists practicing in Bandera, Texas. See all physical therapists in Texas. Trevor Provencher practices with Momentum Physical And Sports Rehabilitation Limited Partnership.

Registry record (NPPES)

NPI
1992590822
Type
Type 1 · Individual
Primary taxonomy
Physical Therapist · 225100000X
Address on file
3456 State Highway 16 South
Bandera, TX 78003
(830) 796-3447
Enumerated
Apr 11, 2025
Record last updated
May 29, 2025
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physical Therapist in Private Practice
Revalidation due
No date set by CMS

The registry stops here. NPivot keeps going.

  • Part D prescribing
  • Procedure volumes by CPT code
  • Group affiliations and colleagues
  • Full enrollment history
See the full profile free Free account. No card, no call.

Practice locations

More physical therapists in Bandera

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.