diff --git a/packages/core/types/src/notification/providers/index.ts b/packages/core/types/src/notification/providers/index.ts
index e0069c9d0d0ca..bd4c5f88b1623 100644
--- a/packages/core/types/src/notification/providers/index.ts
+++ b/packages/core/types/src/notification/providers/index.ts
@@ -1,2 +1,3 @@
 export * from "./logger"
 export * from "./sendgrid"
+export * from "./twilio"
diff --git a/packages/core/types/src/notification/providers/twilio.ts b/packages/core/types/src/notification/providers/twilio.ts
new file mode 100644
index 0000000000000..a418fe1855191
--- /dev/null
+++ b/packages/core/types/src/notification/providers/twilio.ts
@@ -0,0 +1,6 @@
+export interface TwilioNotificationServiceOptions {
+  account_sid: string
+  auth_token: string
+  from?: string
+  messaging_service_sid?: string
+}
diff --git a/packages/medusa/src/modules/notification-twilio.ts b/packages/medusa/src/modules/notification-twilio.ts
new file mode 100644
index 0000000000000..537445f5191f7
--- /dev/null
+++ b/packages/medusa/src/modules/notification-twilio.ts
@@ -0,0 +1,6 @@
+import TwilioNotificationProvider from "@medusajs/notification-twilio"
+
+export * from "@medusajs/notification-twilio"
+
+export default TwilioNotificationProvider
+export const discoveryPath = require.resolve("@medusajs/notification-twilio")
diff --git a/packages/modules/providers/notification-sendgrid/src/services/sendgrid.ts b/packages/modules/providers/notification-sendgrid/src/services/sendgrid.ts
index 23b80d299481b..f1ad38cf0afa5 100644
--- a/packages/modules/providers/notification-sendgrid/src/services/sendgrid.ts
+++ b/packages/modules/providers/notification-sendgrid/src/services/sendgrid.ts
@@ -75,7 +75,7 @@ export class SendgridNotificationService extends AbstractNotificationProviderSer
     } else {
       // we can't mix html and templates for sendgrid
       mailContent = {
-        templateId: notification.template,
+        templateId: notification.template || "",
       }
     }
 
diff --git a/packages/modules/providers/notification-twilio/.gitignore b/packages/modules/providers/notification-twilio/.gitignore
new file mode 100644
index 0000000000000..e69de29bb2d1d
diff --git a/packages/modules/providers/notification-twilio/jest.config.js b/packages/modules/providers/notification-twilio/jest.config.js
new file mode 100644
index 0000000000000..818699559a62f
--- /dev/null
+++ b/packages/modules/providers/notification-twilio/jest.config.js
@@ -0,0 +1,10 @@
+const defineJestConfig = require("../../../../define_jest_config")
+module.exports = defineJestConfig({
+  moduleNameMapper: {
+    "^@models": "<rootDir>/src/models",
+    "^@services": "<rootDir>/src/services",
+    "^@repositories": "<rootDir>/src/repositories",
+    "^@types": "<rootDir>/src/types",
+    "^@utils": "<rootDir>/src/utils",
+  },
+})
diff --git a/packages/modules/providers/notification-twilio/package.json b/packages/modules/providers/notification-twilio/package.json
new file mode 100644
index 0000000000000..6e41c648aadc3
--- /dev/null
+++ b/packages/modules/providers/notification-twilio/package.json
@@ -0,0 +1,46 @@
+{
+  "name": "@medusajs/notification-twilio",
+  "version": "0.0.1",
+  "description": "Twilio notification provider for Medusa",
+  "main": "dist/index.js",
+  "repository": {
+    "type": "git",
+    "url": "https://github.com/medusajs/medusa",
+    "directory": "packages/modules/providers/notification-twilio"
+  },
+  "files": [
+    "dist",
+    "!dist/**/__tests__",
+    "!dist/**/__mocks__",
+    "!dist/**/__fixtures__"
+  ],
+  "engines": {
+    "node": ">=20"
+  },
+  "author": "Medusa",
+  "license": "MIT",
+  "scripts": {
+    "test": "jest --passWithNoTests src",
+    "test:integration": "jest --forceExit -- integration-tests/**/__tests__/**/*.spec.ts",
+    "build": "rimraf dist && tsc --build ./tsconfig.json",
+    "watch": "tsc --watch"
+  },
+  "devDependencies": {
+    "@medusajs/framework": "^0.0.1",
+    "@swc/core": "^1.7.28",
+    "@swc/jest": "^0.2.36",
+    "jest": "^29.7.0",
+    "rimraf": "^5.0.1",
+    "typescript": "^5.6.2"
+  },
+  "dependencies": {
+    "twilio": "^5.3.3"
+  },
+  "peerDependencies": {
+    "@medusajs/framework": "^0.0.1"
+  },
+  "keywords": [
+    "medusa-provider",
+    "medusa-provider-twilio"
+  ]
+}
diff --git a/packages/modules/providers/notification-twilio/src/index.ts b/packages/modules/providers/notification-twilio/src/index.ts
new file mode 100644
index 0000000000000..16187404f35fe
--- /dev/null
+++ b/packages/modules/providers/notification-twilio/src/index.ts
@@ -0,0 +1,8 @@
+import { ModuleProvider, Modules } from "@medusajs/framework/utils"
+import { TwilioNotificationService } from "./services/twilio"
+
+const services = [TwilioNotificationService]
+
+export default ModuleProvider(Modules.NOTIFICATION, {
+  services,
+})
diff --git a/packages/modules/providers/notification-twilio/src/services/twilio.ts b/packages/modules/providers/notification-twilio/src/services/twilio.ts
new file mode 100644
index 0000000000000..f7ce224589e17
--- /dev/null
+++ b/packages/modules/providers/notification-twilio/src/services/twilio.ts
@@ -0,0 +1,124 @@
+import {
+  Logger,
+  NotificationTypes,
+  TwilioNotificationServiceOptions,
+} from "@medusajs/framework/types"
+import {
+  AbstractNotificationProviderService,
+  MedusaError,
+} from "@medusajs/framework/utils"
+import Twilio from "twilio"
+
+type InjectedDependencies = {
+  logger: Logger
+}
+
+type SmsContent = Required<
+  Omit<NotificationTypes.NotificationContent, "subject" | "html">
+>
+
+interface TwilioServiceConfig {
+  accountSid: string
+  authToken: string
+  from?: string
+  messagingServiceSid?: string
+}
+
+export class TwilioNotificationService extends AbstractNotificationProviderService {
+  static identifier = "notification-twilio"
+  protected config_: TwilioServiceConfig
+  protected logger_: Logger
+  protected client_: Twilio.Twilio
+
+  constructor(
+    { logger }: InjectedDependencies,
+    options: TwilioNotificationServiceOptions
+  ) {
+    super()
+
+    this.config_ = {
+      accountSid: options.account_sid,
+      authToken: options.auth_token,
+      from: options.from,
+      messagingServiceSid: options.messaging_service_sid,
+    }
+    this.logger_ = logger
+    this.client_ = Twilio(this.config_.accountSid, this.config_.authToken)
+  }
+  /**
+   * Sends a notification via Twilio SMS (or MMS if mediaUrls are provided)
+   * @param notification the notification data
+   * @returns a promise that resolves when the message is sent
+   */
+
+  async send(
+    notification: NotificationTypes.ProviderSendNotificationDTO
+  ): Promise<NotificationTypes.ProviderSendNotificationResultsDTO> {
+    if (!notification) {
+      throw new MedusaError(
+        MedusaError.Types.INVALID_DATA,
+        "No notification information provided"
+      )
+    }
+    const content = notification.content as SmsContent
+
+    if (!content?.text) {
+      throw new MedusaError(
+        MedusaError.Types.INVALID_DATA,
+        `Message body (content.text) is required for SMS`
+      )
+    }
+
+    const mediaUrls = notification.data?.mediaUrls as string[] | undefined
+    const fromNumber = notification.from?.trim() || this.config_.from
+    const messagingService =
+      (notification.data?.messagingServiceSid as string) ||
+      this.config_.messagingServiceSid
+
+    if (!notification.to) {
+      throw new MedusaError(
+        MedusaError.Types.INVALID_DATA,
+        "Recipient to (#) is required"
+      )
+    }
+
+    if (!fromNumber && !messagingService) {
+      throw new MedusaError(
+        MedusaError.Types.INVALID_DATA,
+        `Either 'from' number or 'messagingServiceSid' must be provided`
+      )
+    }
+    const smsData = {
+      to: notification.to,
+      body: content.text,
+      from: fromNumber || undefined,
+      messagingServiceSid: messagingService || undefined,
+      mediaUrl: mediaUrls && mediaUrls.length > 0 ? mediaUrls : undefined,
+    }
+
+    try {
+      const message = await this.client_.messages.create(smsData)
+      const messageBody =
+        typeof message.body === "string"
+          ? JSON.parse(message.body)
+          : message.body
+      if (messageBody.error_code) {
+        throw new MedusaError(
+          MedusaError.Types.UNEXPECTED_STATE,
+          `Failed to send SMS: ${messageBody.error_code} - ${messageBody.error_message}`
+        )
+      }
+
+      return { id: message.sid }
+    } catch (error: any) {
+      const errorCode = error.code
+      const responseError = error.response?.body?.errors?.[0]
+      throw new MedusaError(
+        MedusaError.Types.UNEXPECTED_STATE,
+        `Failed to send SMS: ${errorCode} - ${
+          responseError?.message ?? "unknown error"
+        }`
+      )
+    }
+  }
+}
diff --git a/packages/modules/providers/notification-twilio/tsconfig.json b/packages/modules/providers/notification-twilio/tsconfig.json
new file mode 100644
index 0000000000000..90f3a70b383ef
--- /dev/null
+++ b/packages/modules/providers/notification-twilio/tsconfig.json
@@ -0,0 +1,12 @@
+{
+  "extends": "../../../../_tsconfig.base.json",
+  "compilerOptions": {
+    "paths": {
+      "@models": ["./src/models"],
+      "@services": ["./src/services"],
+      "@repositories": ["./src/repositories"],
+      "@types": ["./src/types"],
+      "@utils": ["./src/utils"]
+    }
+  }
+}