Provider Demographics
NPI:1710357652
Name:ALBERTO, ERIKA ALEXIS (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ALEXIS
Last Name:ALBERTO
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9880 W FLAMINGO RD STE 260
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8085
Mailing Address - Country:US
Mailing Address - Phone:702-680-0016
Mailing Address - Fax:702-838-2999
Practice Address - Street 1:9880 W FLAMINGO RD STE 260
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8085
Practice Address - Country:US
Practice Address - Phone:702-680-0016
Practice Address - Fax:702-838-2999
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293332225100000X
NV05065102255A2300X
NV3794225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer