Edward Ericksen
NPI 1043610199ActiveIndividual· Physical Therapist· Bloomington, IL
Physical Therapist in Bloomington, Illinois, trained at Des Moines University of Osteopathic Medicine and Health Sciences (class of 2011). Medicare paid $21,980 for services to 99 patients in 2024.
Overview
| NPI | 1043610199 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 26, 2014 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070027646 | IL |
| Physical Therapist | 225100000X | PT.014702 | OH |
| Physical Therapist | 225100000X | 13706 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 1,079 across 11 procedure codes |
| Paid by Medicare | $21,980 |
Education and affiliations
| Medical school | Des Moines University of Osteopathic Medicine and Health Sciences |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Carle Health Care IncorporatedUrbana, IL · 1,666 clinicians
- Carle West Physician Group IncBloomington, IL · 271 clinicians
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All 97 physical therapists in Bloomington · All physical therapists in Illinois