Healthcare Provider Details

I. General information

NPI: 1265550867
Provider Name (Legal Business Name): ERICA SULE FICARROTTO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA ELIZABETH SULE

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 FAYETTE STREET
MARTINSVILLE VA
24112
US

IV. Provider business mailing address

7017 PRESERVE POINTE DR
MERRITT ISLAND FL
32953
US

V. Phone/Fax

Practice location:
  • Phone: 276-352-4465
  • Fax: 276-293-1212
Mailing address:
  • Phone: 336-430-6289
  • Fax: 276-293-1212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305203382
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT31140
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: