Provider Demographics
NPI:1972279990
Name:NIKOLAIDIS, ERICA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:NIKOLAIDIS
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 1:8340 GREENSBORO DR UNIT 1006
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3546
Mailing Address - Country:US
Mailing Address - Phone:703-896-9999
Mailing Address - Fax:
Practice Address - Street 1:2987 DISTRICT AVE STE 140
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-1571
Practice Address - Country:US
Practice Address - Phone:703-890-0433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052146032251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic