Active NPI
Erika Leigh Staab, DPT
- Physical Therapist
- Darby, PA
National Provider Identifier
1548462989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015823
- Practice address
- 1503 Lansdowne Ave
Smlwc 2ND Floor Outpatient Physical Therapy
Darby, PA 19023-1330 - Phone
- (610) 237-3664
- Fax
- (610) 237-2520
- NPI assigned
- Jun 5, 2007
- 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 Therapist | 225100000X | PT015823 | PA | Primary |
Addresses
Primary practice location
1503 Lansdowne Ave
Smlwc 2ND Floor Outpatient Physical Therapy
Darby, PA 19023-1330
Mailing address
282 Iven Ave
Apt 3a
Wayne, PA 19087-4925
Phone (610) 971-8222
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 |
|---|---|---|---|
| PT015823 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Management of Southeastern Pennsylvania | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Land Ambulance
- Darby, PA
- NPI 1053394122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548462989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 IVEN AVE",
"address_2": "APT 3A",
"city": "WAYNE",
"state": "PA",
"postal_code": "190874925",
"telephone_number": "610-971-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 LANSDOWNE AVE",
"address_2": "SMLWC 2ND FLOOR OUTPATIENT PHYSICAL THERAPY",
"city": "DARBY",
"state": "PA",
"postal_code": "190231330",
"telephone_number": "610-237-3664",
"fax_number": "610-237-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAAB",
"first_name": "ERIKA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.