Provider Demographics
NPI:1962772889
Name:PASTARCHUK, ERIKA E (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:E
Last Name:PASTARCHUK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 NE 14TH AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2855
Mailing Address - Country:US
Mailing Address - Phone:352-262-1190
Mailing Address - Fax:
Practice Address - Street 1:611 NE 14TH AVE APT 306
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-2855
Practice Address - Country:US
Practice Address - Phone:352-262-1190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034620-12251P0200X
FL30712225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics