Active NPIIndividual providerSole proprietor

Ms. Erika Fedorsova, PTA

Physical Therapy Assistant in Whiting, New Jersey

NPI Number1053753004
Practice location
149 Mockingbird Way, Whiting, NJ 08759-3709
Fax
—
Last updated
July 18, 2013

Erika Fedorsova is a Physical Therapy Assistant based in Whiting, NJ. Erika Fedorsova practices in Whiting, NJ and has the professional credentials of PTA. The NPI Number for Erika Fedorsova is 1053753004 and holds a License No. 40QB00289900 (NJ). The current practice location address for Erika Fedorsova is 149 Mockingbird Way, Whiting, NJ 08759-3709 and can be reached out via phone at 732-350-2306.

Provider Profile Details

NPI Number
1053753004
Provider Name
Erika Fedorsova
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
149 Mockingbird Way, Whiting, NJ 08759-3709
Phone Number
732-350-2306
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2013
Last Update Date
July 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 Mockingbird Way
Whiting, NJ 08759-3709
Zip
08759-3709
Phone Number
732-350-2306
Whiting, NJ 08759Get directions →

Provider Business Mailing Address Details

Address
149 Mockingbird Way
Whiting, NJ 08759-3709
City
Whiting
State
NJ
Zip
08759-3709
Phone Number
732-350-2306

License Information

License Number
40QB00289900
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapy Assistants near Whiting, NJ

View all Physical Therapy Assistants in Whiting →

Frequently Asked Questions

What is the NPI number of Ms. Erika Fedorsova, PTA?

The NPI number of Ms. Erika Fedorsova, PTA is 1053753004. It was assigned on July 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Erika Fedorsova, PTA?

Ms. Erika Fedorsova, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00289900.

Where does Ms. Erika Fedorsova, PTA practice?

The practice location is 149 Mockingbird Way, Whiting, NJ 08759-3709. The office can be reached at 732-350-2306 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053753004 directly on the NPPES registry website.

Browse related providers