Erica Eban Lackey, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT23008 Issued in FL

Practice address

1090 Deland Ave
Orange City, FL 32763-3600

Phone

(727) 667-4293

NPI assigned

Mar 31, 2022

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sports and Orthopedic Rehabilitation Services, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1336539030

  Single Specialty

  Medicare reassignment NPD
• Sports and Orthopedic Rehabilitation Services Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • New Port Richey, FL
  • NPI 1518357219

  Single Specialty

  NPD
• Sports and Orthopedic Rehabilitation Services Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Riverview, FL
  • NPI 1841981073
  NPD

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1306586813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 DELAND AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633600",
            "telephone_number": "727-667-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 DELAND AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633600",
            "telephone_number": "727-667-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "ERICA",
        "middle_name": "EBAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kopuri Orthodontist PA
• Casey Nicole Kovacevic, MS CCC SLP
• Aaron Michael Krueger, M.D.
• Paul Kudlick, PT, DPT
• Kyro Care Orange City LLC (Kyro Care)
• Lad Imaging, LLC (no dba LAD Imaging , LLC (Orange City))
• Kathrine Lafond-Poli
• Breanne Lagg, RBT
• Michael Lagoe
• PO-Nan Lai, PT

• Occupational Therapist in Orange City, FL
• Providers in Orange City, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.