Evergreen Clinic, PLLC
NPI 1265954960ActiveOrganization· Physical Therapist· Gainesville, VA
Physical Therapist in Gainesville, Virginia, registered in NPPES in July 2017. The authorized official on file is Jacqueline Stiles, DPT, Physical Therapist.
Overview
| NPI | 1265954960 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2017 |
| Last updated in NPPES | Jul 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2305209030 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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