MEDICARE: ERIKA GENEROSO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT60550903	WA
2	225100000X	Physical Therapist	032112	NY

General Provider Information

NPI Number	:	1831471739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA GENEROSO PT

Provider Business Mailing Address
First Line	:	26477 72ND AVE NW STE 108
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-6219
Country	:	US
Telephone Number	:	425-652-4594
Fax Number	:

Provider Business Practice Location Address
First Line	:	26477 72ND AVE NW STE 108
Second Line	:
City	:	STANWOOD
State	:	WA
Zip	:	98292-6219
Country	:	US
Telephone Number	:	425-652-4594
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2011
Last Update Date	:	02/23/2026

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Directions to “ ERIKA GENEROSO PT” Practice Location

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