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IndividualActive

Edward Ericksen

Physical Therapist

NPI: 1043610199Bloomington, Illinois, 61704(309) 663-6461Male

About Edward Ericksen

Edward Ericksen is a male healthcare professional specializing in Physical Therapist, registered under National Provider Identifier (NPI) number 1043610199. Edward Ericksen received his medical education at DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES, graduating in 2011.

Their primary practice is located at 1111 TRINITY LN STE 111, Bloomington, Illinois 61704. Patients can reach the office at (309) 663-6461. Edward Ericksen has been NPI-registered since 2014.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1043610199
Entity Type
Individual
First Name
Edward
Last Name
Ericksen
Gender
Male
Medical School
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year
2011
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1111 TRINITY LN STE 111
City
Bloomington
State
Illinois
ZIP
61704-8112
Country
United States
Phone
(309) 663-6461

Specialty & Taxonomy

Primary Specialty
Physical Therapist
Classification
Physical Therapist
Taxonomy Code
225100000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
611 W PARK ST
City
URBANA
State
IL
ZIP
618012500

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Edward Ericksen's NPI number?
Edward Ericksen's National Provider Identifier (NPI) is 1043610199. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Edward Ericksen specialize in?
Edward Ericksen specializes in Physical Therapist. They received their medical education at DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES (class of 2011).
Where is Edward Ericksen located?
Edward Ericksen practices at 1111 TRINITY LN STE 111, Bloomington, Illinois 61704. You can reach them by phone at (309) 663-6461.
Does Edward Ericksen accept Medicare?
Based on available data, Edward Ericksen is not currently enrolled in the Medicare program.
Does Edward Ericksen offer telehealth or virtual visits?
Edward Ericksen does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Edward Ericksen is 1043610199.