Provider Demographics
NPI:1871540179
Name:ZLUPKO, ERICA LYNNE (DPT)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:LYNNE
Last Name:ZLUPKO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:LYNNE
Other - Last Name:STUCKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1002 PHILADELPHIA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-1339
Mailing Address - Country:US
Mailing Address - Phone:814-948-7084
Mailing Address - Fax:814-948-7076
Practice Address - Street 1:1200 11TH ST
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4605
Practice Address - Country:US
Practice Address - Phone:814-201-2091
Practice Address - Fax:814-201-2225
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018049225100000X
OHPT013059225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00623287Medicare PIN
VA015827P25Medicare PIN