Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kathy C Provencher

Individual provider Physical Therapist · NPI 1316098619

MS. Kathy C Provencher is a Physical Therapist in Private Practice in Waterbury, Vermont. Graduated from University of Vermont College of Medicine in 1993, 33 years ago. Practices with Provencher Physical Therapy, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
33
Trained at
University of Vermont College of Medicine
Licensed in
VT
In the registry since
2007
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Practice location Address checks out

137S Main St
Waterbury, VT 05676-1579
Phone: (802) 244-1140
Fax: (802) 244-6851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0400002724 (VT)

Record details

NPI number1316098619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESSeptember 28, 2015
Mailing address15 Cooper'S Landing, Waterbury, VT 05677-8335

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Provencher Physical Therapy, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waterbury