Individual ProviderErica TalleyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address16611 S 40th St Ste 130, Phoenix, AZ 85048-0564(480) 706-1199(602) 329-8250PECOS EnrollmentBased on the most recent information from CMS, provider Erica Talley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1720579212Provider TypeIndividualFull NameTalley, EricaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date5/21/2018Last Updated3/3/2022Contact InformationPractice LocationPractice Address16611 S 40th St Ste 130, Phoenix, AZ 85048-0564Phone(480) 706-1199FaxUnlisted FaxMailing LocationMailing Address14287 N 87th St Ste 220, Scottsdale, AZ 85260-3698Phone(602) 329-8250Fax(480) 565-1898Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense30015Arizona