Provider Demographics
NPI:1467502450
Name:TOMASIK, ERIN L (MSPT, OCS, CSCS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:TOMASIK
Suffix:
Gender:F
Credentials:MSPT, OCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3989 E ARAPAHOE ROAD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-7044
Mailing Address - Country:US
Mailing Address - Phone:303-740-2026
Mailing Address - Fax:303-770-5459
Practice Address - Street 1:3989 E ARAPAHOE ROAD
Practice Address - Street 2:SUITE 120
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-7044
Practice Address - Country:US
Practice Address - Phone:303-740-2026
Practice Address - Fax:303-770-5459
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11217225100000X
CO175882251X0800X
CO0017588225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA468909OtherTUFTS PIN#
MAY68362OtherBCBS PIN
MAY69303Medicare PIN