Active NPI
Erika Lee Filis
- Physical Therapy Assistant
- Palm Bay, FL
National Provider Identifier
1235950585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- FL24467
- Practice address
- 3266 Hainlin Ave SE
Palm Bay, FL 32909-8239 - Phone
- (321) 506-2862
- NPI assigned
- Oct 21, 2024
- Last updated
- Oct 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | FL24467 | FL | Primary |
Addresses
Primary practice location
3266 Hainlin Ave SE
Palm Bay, FL 32909-8239
Mailing address
815 Briar Creek Blvd NE
Palm Bay, FL 32905-5423
Phone (321) 506-2862
Other practice location 1
815 Briar Creek Blvd NE
Palm Bay, FL 32905-5423
Phone (321) 506-2862
Other names 1
- Ms. Erika Lee Johansen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL24467 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1235950585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 BRIAR CREEK BLVD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329055423",
"telephone_number": "321-506-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3266 HAINLIN AVE SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329098239",
"telephone_number": "321-506-2862"
}
],
"practiceLocations": [
{
"address_1": "815 Briar Creek Blvd NE",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329055423",
"country_code": "US",
"telephone_number": "321-506-2862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILIS",
"first_name": "ERIKA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "FL24467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIKA",
"last_name": "JOHANSEN",
"middle_name": "LEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.