Individual ProviderOlivia Jean PaukenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address514 Saint James Ave Unit G, Goose Creek, SC 29445-2767(843) 642-8660(615) 373-1350PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Jean Pauken does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1740804145Provider TypeIndividualFull NamePauken, Olivia JeanCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date6/1/2020Last Updated3/23/2022Contact InformationPractice LocationPractice Address514 Saint James Ave Unit G, Goose Creek, SC 29445-2767Phone(843) 642-8660Fax(843) 642-8661Mailing LocationMailing AddressPO Box 306393, Nashville, TN 37230-6393Phone(615) 373-1350Fax(615) 373-7116Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11208South CarolinaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT018555Ohio