Provider Demographics
NPI:1124147392
Name:ESTEVEZ, ERIKA MICHELLE (PT, MPT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:MICHELLE
Last Name:ESTEVEZ
Suffix:
Gender:
Credentials:PT, MPT
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MICHELLE
Other - Last Name:TULLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, MPT
Mailing Address - Street 1:6818 AUSTIN CENTER BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3199
Mailing Address - Country:US
Mailing Address - Phone:512-418-8870
Mailing Address - Fax:
Practice Address - Street 1:6818 AUSTIN CENTER BLVD STE 111
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3199
Practice Address - Country:US
Practice Address - Phone:512-418-8870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11473572251G0304X, 2251N0400X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology