Individual provider Active NPI

Erika Leigh Staab, DPT

  • Physical Therapist
  • Darby, PA
National Provider Identifier
1548462989
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015823 Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT015823PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.