Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Erica Connell, LPTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1104405133

Erica Connell, LPTA is a Physical Medicine & Rehabilitation Physician in Shalimar, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
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Practice location Address checks out

30 Holly Ave
Shalimar, FL 32579-1158
Phone: (850) 651-2635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PTA28370 (FL)

Record details

NPI number1104405133
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021
Mailing address2034 Sunset Pine Way, Gulf Breeze, FL 32563-9774