One Source Integrative Medicine
NPI 1912651647ActiveOrganization· Physical Medicine & Rehabilitation· Florence, SC
Physical Medicine & Rehabilitation in Florence, South Carolina, registered in NPPES in February 2022. The authorized official on file is Jennifer M. Evans, DC, Owner. Enrolled in Medicare as dme supplier - nurse practitioner and part b supplier - clinic/group practice.
Overview
| NPI | 1912651647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2022 |
| Last updated in NPPES | Feb 10, 2022 |
| Certified by provider | Feb 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
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 DME Supplier - Nurse Practitioner (SC); Part B Supplier - Clinic/Group Practice (SC) |
|---|
Other Physical Medicine & Rehabilitation providers in Florence
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All Physical Medicine & Rehabilitation providers in South Carolina →