Gina Kay Cancilla
NPI 1902605504ActiveIndividual· Physical Therapist· Ocean Isle Beach, NC
Physical Therapist with Spooner Physical Therapy and Hand Rehab, PC, practicing in Ocean Isle Beach, North Carolina. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1902605504 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 7, 2025 |
| Last updated in NPPES | Jun 9, 2025 |
| Certified by provider | Jun 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P23912 | NC |
| Physical Therapist | 225100000X | 30336 | MD |
| Physical Therapist | 225100000X | — | — |
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 (AZ); Practitioner - Physical Therapist in Private Practice (NC); Practitioner - Physical Therapist in Private Practice (NJ) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Spooner Physical Therapy and Hand Rehab, PCScottsdale, AZ · 201 clinicians
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