Individual provider Active NPI

Erika Lee Filis

  • Physical Therapy Assistant
  • Palm Bay, FL
National Provider Identifier
1235950585
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
FL24467 Issued in FL
Practice address
3266 Hainlin Ave SE
Palm Bay, FL 32909-8239
Phone
(321) 506-2862
NPI assigned
Oct 21, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
FL24467FLMDPhysical 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.

Verify at the official NPI Registry.