Mia L Erickson, P.T., C.H.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12364 Issued in AZ

Practice address

3200 E Camelback Rd
Suite 135
Phoenix, AZ 85018-2311

Phone

(602) 954-8473

Fax

(602) 954-8494

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DHT Hand Therapy Limited Partnership

  • Occupational Therapist
  • Phoenix, AZ
  • NPI 1083127765

  Physical Therapist

  NPD (past)
• DHT Hand Therapy Limited Partnership

  • Physical Therapist
  • Peoria, AZ
  • NPI 1245982693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1285600858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N 95TH LN",
            "address_2": "SUITE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374324",
            "telephone_number": "623-907-0828",
            "fax_number": "623-907-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD",
            "address_2": "SUITE 135",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182311",
            "telephone_number": "602-954-8473",
            "fax_number": "602-954-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "MIA",
        "middle_name": "L",
        "credential": "P.T., C.H.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157703000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Rose Erickson, M.D.
• Jodi Erickson, LCSW
• Julie Erickson
• Kendall Bilger Erickson, P.T.
• Laurie Erickson, MD
• Nikki Erickson, PT
• Patricia J Erickson, LPN
• Robert Erickson, LCSW
• Samantha Marie Erickson
• Shelly Marie Erickson, FNP

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.