Provider Demographics
NPI:1366424608
Name:GERBUS, ERIN K (PT)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:K
Last Name:GERBUS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:K
Other - Last Name:WORMUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:818 NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1116
Mailing Address - Country:US
Mailing Address - Phone:757-473-8016
Mailing Address - Fax:757-473-3580
Practice Address - Street 1:818 NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1116
Practice Address - Country:US
Practice Address - Phone:757-473-8016
Practice Address - Fax:757-473-3580
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225000000X
VA2305004031225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
4980093OtherVIRGINIA PREMIER HEALTH P
5275769OtherAETNA
541371436OtherUNITED HEALTH CARE
147627OtherANTHEM BLUE CROSS
VA4980093Medicaid
11453430OtherCAQH
007328OtherANTHEM BLUE CROSS
3611532OtherAETNA
6400313OtherUNITED HEALTH CARE
VA9116460Medicaid
350034OtherOPTIMA
35062OtherOPTIMA
541371436OtherTRICARE CHAMPUS