DR. BRIAN STUART ERICKSEN PT, DPT
NPI 1639652167
Physical Therapist - Neurology in Orange Park, FL

Active since September 11, 2018
500 PARK AVE, ORANGE PARK, FL 32073(904) 278-7890 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brian Stuart Ericksen Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN STUART ERICKSEN PT, DPT (NPI 1639652167) is an individual neurology provider in Orange Park, Florida, licensed in Florida (PT33795) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1639652167
Entity TypeIndividualMale
Primary Taxonomy2251N0400X
Provider Legal NameDR. BRIAN STUART ERICKSENCredential: PT, DPT
Location Address500 PARK AVEOrange Park, FL 32073-3132
Mailing Address500 Park AveOrange Park, FL 32073-3132
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
NPI 1639652167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License Licensed in FL · PT33795
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

500 PARK AVE, Orange Park, FL 32073

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
500 PARK AVE
ORANGE PARK, FL 32073
Physical Therapist
500 PARK AVE
ORANGE PARK, FL 32073
Physical Therapist
500 PARK AVE
ORANGE PARK, FL 32073
Physical Therapist
500 PARK AVE
ORANGE PARK, FL 32073
Occupational Therapist
500 PARK AVE
ORANGE PARK, FL 32073
Speech-Language Pathologist
500 PARK AVE
ORANGE PARK, FL 32073
Speech-Language Pathologist
500 PARK AVE
ORANGE PARK, FL 32073
Occupational Therapist
500 PARK AVE
ORANGE PARK, FL 32073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639652167, enumerated as an "individual" on September 11, 2018.

The provider is located at 500 PARK AVE ORANGE PARK, FL 32073 and the phone number is (904) 278-7890.

Physical Therapist with taxonomy code 2251N0400X and a focus in Neurology.