Kelly Blake Cantu, PA-C
NPI 1174718738ActiveIndividual· Physical Medicine & Rehabilitation, Pain Medicine· Columbia, SC
Physical Medicine & Rehabilitation, Pain Medicine (PA-C) with Active Life Health of Columbia LLC, practicing in Columbia, South Carolina. Part D covered 62 prescriptions written in 2024, 100% of them generic. Medline Industries LP was the largest of 2 companies reporting payments in 2024, $41.61 in all, mostly food and beverage.
Overview
| NPI | 1174718738 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 7, 2007 |
| Last updated in NPPES | Oct 22, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | 1770252017 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SC) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 62 · 62 30-day fills |
|---|---|
| Patients | 53 |
| Total drug cost | $51.20 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Active Life Health of Columbia LLCColumbia, SC · 6 clinicians
Industry payments (Open Payments)
- 2024$41.61 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medline Industries LP | $21.60 | 1 |
| Fidia Pharma USA Inc. | $20.01 | 1 |
What the 2024 payments were for
- Food and Beverage$41.61 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physical Medicine & Rehabilitation, Pain Medicine providers in Columbia
- 1336891951
- 1396504544
- 1720812670
- 1861983249
- 1730717018
- 1013170646
- 1487610424
All Physical Medicine & Rehabilitation, Pain Medicine providers in South Carolina →