Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina Kay Cancilla

Individual provider Physical Therapist · NPI 1902605504

Gina Kay Cancilla is a Physical Therapist in Private Practice in Ocean Isle Beach, North Carolina. Qualified in 2024, 2 years ago. Practices with Spooner Physical Therapy and Hand Rehab, PC, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
2
Licensed in
MD, NC
In the registry since
2025
Specialties on file
3

Practice location Address checks out

6278 Beach Dr SW Ste 114
Ocean Isle Beach, NC 28469-3670
Phone: (910) 579-3900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6190 Georgetown Blvd Ste 108, Sykesville, MD 21784-6460 — (410) 552-4235

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P23912 (NC)
Physical Therapist Taxonomy 225100000X · Licence 30336 (MD)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1902605504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Spooner Physical Therapy And Hand Rehab, Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ocean Isle Beach