DR. BRIAN STUART ERICKSEN (NPI# 1639652167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639652167 |
| Entity Type | Individual |
| Full Name | DR. BRIAN STUART ERICKSEN |
| Credential | PT, DPT |
| Practice Address |
500 Park Ave Orange Park FL 32073-3132 |
| Practice Telephone | 9042787890 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT33795 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 PARK AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892771 | Zachary Perry | Occupational Therapist | 500 Park Ave, Orange Park, FL 32073-3132 | 2020-02-05 |
| 1104475227 | Morgan Wendland | Speech-Language Pathologist | 500 Park Ave, Orange Park, FL 32073-3132 | 2019-09-11 |
| 1689237042 | Courtney A Haldeman | Physical Therapist | 500 Park Ave, Orange Park, FL 32073-3132 | 2019-04-20 |
| 1588139182 | Camille Young | Speech-Language Pathologist | 500 Park Ave, Orange Park, FL 32073-3132 | 2018-10-10 |
| 1922589993 | Jana Elizabeth Raisner | Physical Therapist | 500 Park Ave, Orange Park, FL 32073-3132 | 2018-08-27 |
| 1457831869 | Victoria Andrea Salud | Occupational Therapist | 500 Park Ave, Orange Park, FL 32073-3132 | 2018-08-15 |
| 1629586243 | Olivia N Kilpatrick | Occupational Therapist | 500 Park Ave, Orange Park, FL 32073 | 2018-01-17 |
| 1013425073 | Brooks Rehabilitation | Occupational Therapist | 500 Park Ave, Orange Park, FL 32073-3132 | 2018-01-11 |
| 1962932962 | Hannah Judd | Speech-Language Pathologist | 500 Park Ave, Orange Park, FL 32073-3132 | 2017-06-13 |
| 1326574658 | Karen Macpherson | Physical Therapist | 500 Park Ave, Orange Park, FL 32073-3132 | 2017-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337190 | Dhara Kapadia | Physical Therapist | 2152 Siena Ter, Hollywood, FL 33021-3800 | 2020-02-06 |
| 1851856942 | Matthew Estevez | Physical Therapist | 8774 Atwater Loop, Oviedo, FL 32765-5227 | 2019-02-04 |
| 1871018044 | Marsha L Quinn | Physical Therapist | 3992 Tangle Dr, Titusville, FL 32796-2261 | 2017-08-09 |
| 1164944708 | Mayo Manahan Manuel | Physical Therapist | 50 2nd St Se Fl 33880, Winter Haven, FL 33880-6300 | 2017-07-14 |
| 1669876694 | Rey Causin | Physical Therapist | 5510 Lexington Dr, Parrish, FL 34219-5802 | 2014-10-20 |
| 1083028146 | Dianne Kathleen Stinger-saldarriaga | Physical Therapist | 5870 51st St S, St Petersburg, FL 33715 | 2014-06-17 |
| 1194069773 | Vestbular Rehabilitation and Dizziness Center Inc | Physical Therapist | 2515 S State Road 7, Suite 210, Wellington, FL 33414-9334 | 2012-11-20 |
| 1902158496 | Corinne Luria | Physical Therapist | 1621 Micanopy Ave, Miami, FL 33133-2509 | 2012-10-08 |
| 1154638120 | Emma Vega Garriga | Physical Therapist | 5120 Sw 103rd Pl, Miami, FL 33165-6244 | 2010-09-11 |
| 1144533282 | Gregory Allan Robrahn | Physical Therapist | 6010 Kenneth Rd, Fort Myers, FL 33919-1625 | 2010-07-19 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on DR. BRIAN STUART ERICKSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.