Individual provider Active NPI

Erica Nikolaidis, PT, DPT

  • Orthopedic Physical Therapist
  • Fairfax, VA
National Provider Identifier
1972279990
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305214603 Issued in VA
Practice address
2987 District Ave Ste 140
Fairfax, VA 22031-1571
Phone
(703) 890-0433
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305214603 VA Primary

Addresses

Primary practice location

2987 District Ave Ste 140
Fairfax, VA 22031-1571

Mailing address

8340 Greensboro Dr Unit 1006
MC Lean, VA 22102-3546
Phone (703) 896-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210922001518 DC Practitioner - Physical Therapist in Private Practice 1759788409 Reassigns benefits to 1 organization
I20250303000886 VA Practitioner - Physical Therapist in Private Practice 1759788409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

38 Catoctin Cir SE
Suite 38C
Leesburg, VA 20175-3628
Phone (301) 798-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305214603VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 2 Perform LLC Orthopedic CurrentSince Jan 20, 2025 Accepting new patients
Indigo Health Virginia LLC Orthopedic CurrentSince Jun 8, 2024 Accepting new patients
Rehab 2 Perform LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986

3060 Williams Dr
Ste 300
Fairfax, VA 22031
Phone (571) 609-3507

2987 District Ave
Ste 140
Fairfax, VA 22031
Phone (410) 601-3991

38 Catoctin Cir SE
Ste 38C
Leesburg, VA 20175
Phone (301) 450-7560

38 Catoctin Cir SE
Ste C
Leesburg, VA 20175

Organizations & group practices 3

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1972279990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 GREENSBORO DR UNIT 1006",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023546",
            "telephone_number": "703-896-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2987 DISTRICT AVE STE 140",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311571",
            "telephone_number": "703-890-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLAIDIS",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305214603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.