Individual provider Active NPI

Erika E Pastarchuk, P.T., D.P.T

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1962772889
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30712 Issued in FL
Practice address
611 NE 14TH Ave Apt 306
Fort Lauderdale, FL 33304-2855
Phone
(352) 262-1190
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 034620-1 NY
Physical Therapist 225100000X 30712 FL Primary

Addresses

Primary practice location

611 NE 14TH Ave Apt 306
Fort Lauderdale, FL 33304-2855

Mailing address

611 NE 14TH Ave Apt 306
Fort Lauderdale, FL 33304-2855
Phone (352) 262-1190

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
30712FLMDPhysical Therapist
034620-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1962772889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NE 14TH AVE APT 306",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042855",
            "telephone_number": "352-262-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NE 14TH AVE APT 306",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042855",
            "telephone_number": "352-262-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTARCHUK",
        "first_name": "ERIKA",
        "middle_name": "E",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "034620-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "30712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.