Provider Demographics
NPI:1306194758
Name:DARGAHI, ERICKA REGINO (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:ERICKA
Middle Name:REGINO
Last Name:DARGAHI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 SHEPHERD ST
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1419
Mailing Address - Country:US
Mailing Address - Phone:508-558-7592
Mailing Address - Fax:
Practice Address - Street 1:9 LEE AIRPARK DR STE 400
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1229
Practice Address - Country:US
Practice Address - Phone:443-607-1469
Practice Address - Fax:410-956-2618
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD225100000X
225100000X
MD26181225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist