Erika Homidas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30905 Issued in FL

Practice address

512 S 11TH St
Lake Wales, FL 33853-4901

Phone

(863) 676-8502

NPI assigned

Mar 25, 2021

Last updated

Mar 25, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1346827359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 GLADESDALE ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446793",
            "telephone_number": "912-492-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534901",
            "telephone_number": "863-676-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMIDAS",
        "first_name": "ERIKA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC (CVS Pharmacy 00411)
• Shanteria Holloway
• Holmes Family Practice PA
• David L Holmes, D.O.
• Home Health Care Group of Florida, Inc
• Caroline C Honculada, M D
• Gwen Horne
• Fred I Howard III, MD
• Robert Keith Hulen III
• Te Hui Hung

• Physical Therapy Assistant in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.