Evolve Therapy and Wellness PLLC
NPI 1932815644ActiveOrganization· Physical Therapist· Pensacola, FL
Physical Therapist in Pensacola, Florida, registered in NPPES in January 2023. The authorized official on file is Sourachack S. Sananikone, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1932815644 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2023 |
| Last updated in NPPES | Apr 5, 2023 |
| Certified by provider | Apr 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (FL) |
|---|
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