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

Mr. Ericson N Tabaco

Individual provider Physical Therapist · NPI 1568707628

Mr. Ericson N Tabaco is a Physical Therapist in Private Practice in Lewes, Delaware. Qualified in 1997, 29 years ago. Practices with W a V E Physical Therapy LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
29
Licensed in
DE
In the registry since
2012
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Practice location Address checks out

17756 Whaling Ct
Lewes, DE 19958-4654
Phone: (302) 827-2133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence J10002324 (DE)

Record details

NPI number1568707628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 30, 2012
Last updated in NPPESNovember 30, 2012
Mailing address17756 Whaling Ct, Lewes, DE 19958-4654

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice W A V E Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lewes