Provider Demographics
NPI:1396095519
Name:BRECEDA-KAHI, ERIKA Y (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:Y
Last Name:BRECEDA-KAHI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:Y
Other - Last Name:BRECEDA TINOCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:50 IRVING ST NW, PM&R/POLYTRAUMA (117)
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20422-0001
Mailing Address - Country:US
Mailing Address - Phone:202-745-8000
Mailing Address - Fax:202-518-4695
Practice Address - Street 1:50 IRVING ST NW, PM&R/POLYTRAUMA (117)
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-518-4695
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36876225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist