Kathy C. Provencher
NPI 1316098619ActiveIndividual· Physical Therapist· Waterbury, VT
Physical Therapist in Waterbury, Vermont, trained at University of Vermont College of Medicine (class of 1993). Medicare paid $29,526 for services to 47 patients in 2024.
Overview
| NPI | 1316098619 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 15, 2007 |
| Last updated in NPPES | Sep 28, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 0400002724 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 1,496 across 7 procedure codes |
| Paid by Medicare | $29,526 |
Education and affiliations
| Medical school | University of Vermont College of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Provencher Physical Therapy, Inc.Waterbury, VT · 3 clinicians
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