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

Trevor M Provencher, DPT, PT

Individual provider Physical Therapist · NPI 1992590822

Trevor M Provencher, DPT, PT is a Physical Therapist in Private Practice in Bandera, Texas. Qualified in 2025, 1 year ago. Practices with Momentum Physical and Sports Rehabilitation Limited Partnership, a 52-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3456 State Highway 16 S
Bandera, TX 78003
Phone: (830) 796-3447
Fax: (830) 796-3685
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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 1406842 (TX)

Record details

NPI number1992590822
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Momentum Physical And Sports Rehabilitation Limited Partnership — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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