MS. ERICKA KATHLEEN ERVIN (NPI# 1780778316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780778316 |
Entity Type | Individual |
Full Name | MS. ERICKA KATHLEEN ERVIN |
Credential | LPT |
Practice Address |
2305 Ridgewood Dr Plano TX 75074 |
Practice Telephone | 2146162932 |
Practice Fax Number | 2144738975 |
Mailing Telephone | 2146162932 |
Mailing Fax Number | 2144738975 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1136505 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUECROSS BLUESHIELD | 8T6079 | 01 |
TX | 0632531-02 | 05 |
Street Address |
2305 RIDGEWOOD DR |
City | PLANO |
State | TX |
Zip Code | 75074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437311719 | Yvonne Roulston | Physical Therapy Assistant | 2305 Ridgewood Dr, Plano, TX 75074-4140 | 2008-06-27 |
1184710758 | North Dallas Therapy, Pllc | Occupational Therapist | 2305 Ridgewood Dr, Plano, TX 75074 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
1063044113 | Q Day Walk In Clinic and Spa, LLC | Clinic/Center | 3560 East Park Blvd., Plano, TX 75074 | 2020-02-06 |
1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
1154804128 | Norte Service Providers LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2917 Duchess Trail, Plano, TX 75074 | 2018-09-14 |
1386124428 | Jakayla Nekelle Price | Occupational Therapist | 3612 Kite Landing Ln., Plano, TX 75074 | 2018-08-17 |
1568948834 | Sarah Lindsey Binion | Counselor | 101 East Park Blvd., Suite 600, Plano, TX 75074 | 2018-07-19 |
1659865327 | Tim Ford | Technician, Other | 6829 Ave K, Suite 105, Plano, TX 75074 | 2018-06-18 |
1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
Find all providers in zip 75074 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720639735 | Felicia Okeiyi | Physical Therapist | 1520 Preston Rd Apt 319, Plano, TX 75093-8301 | 2019-09-23 |
1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
1447563424 | Cynthia Frisby | Physical Therapist | 3948 Dalston Ln, Plano, TX 75023-1027 | 2010-07-20 |
1639221922 | Ann Elizabeth Harris | Physical Therapist | 4128 Aldenham Dr, Plano, TX 75024-7311 | 2007-01-17 |
1629467188 | Rashi Patel, Pt | Physical Therapist | 4129 Waskom Dr, Plano, TX 75024-7079 | 2015-01-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588271472 | Brain & Body Boost, LLC | Physical Therapist | 4360 Bristleleaf Ln, Prosper, TX 75078-1218 | 2020-09-25 |
1871108019 | Tu Khai Le | Physical Therapist | 13503 Parkstone View Cir, Houston, TX 77083-1820 | 2020-09-14 |
1518572171 | Kathryn Elizabeth Hill | Physical Therapist | 8603 Broadway St Ste 170, Pearland, TX 77584-8171 | 2020-09-10 |
1730797838 | Sara Burris | Physical Therapist | 2424 Wilcrest Dr Ste 109, Houston, TX 77042-2761 | 2020-07-15 |
1043838204 | Tiffany Ainsworth | Physical Therapist | 5454 Newcastle St Apt 232, Houston, TX 77081-2259 | 2020-07-13 |
1811510597 | Amanda Medina Calimbas | Physical Therapist | 1019 Warm Summer Dr, Richmond, TX 77406-2732 | 2020-05-28 |
1720600513 | Ll Pediatric Therapy LLC | Physical Therapist | 11200 Lakeline Mall Dr Ste Do5a, Cedar Park, TX 78613-1501 | 2020-05-14 |
1922620822 | Toddler Town Rehab, LLC | Physical Therapist | 5219 S Mccoll Rd Ste D, Edinburg, TX 78539-3168 | 2020-05-13 |
1083240790 | Assiduous Healthcare Group, LLC | Physical Therapist | 1300 Lowe Rd Unit 1301, Mansfield, TX 76063-8725 | 2020-03-14 |
1245865823 | Brandon Krinock | Physical Therapist | 12349 Metric Blvd Apt 1125, Austin, TX 78758-2537 | 2020-03-04 |
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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.