Edward Ericksen
NPI 1043610199 · Physical Therapist · Bloomington, IL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Ericksen is a Physical Therapist provider in Bloomington, IL (NPI 1043610199).
Provider details
- NPI number
- 1043610199
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PT.014702 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,033 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 641 | $22 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 180 | $29 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 118 | $20 |
| Therapy Procedure Using Water Pool to Exercises, Each 15 Minutes97113 | 57 | $28 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 20 | $95 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 17 | $95 |
Practice location
Mailing address
Additional practice locations (1)
- 2901 W Kinnickinnic River Pkwy Ste 500Milwaukee, WI 53215-3683Phone: (414) 649-3250
Registry dates
- Enumerated
- 2014-08-26
- Last updated
- 2024-02-20
- Certified
- 2024-02-18
Frequently asked questions
- What is Edward Ericksen's NPI number?
- Edward Ericksen's National Provider Identifier (NPI) is 1043610199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Ericksen's specialty?
- Edward Ericksen is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Edward Ericksen located?
- Edward Ericksen's practice location on file with NPPES is 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112.
- What is Edward Ericksen's phone number?
- The practice phone number listed in the NPPES registry for Edward Ericksen is (309) 663-6461.
- Does Edward Ericksen accept Medicare?
- Edward Ericksen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Ericksen's NPI active?
- Yes — Edward Ericksen's NPI (1043610199) is active in the NPPES registry as of the last update on 2024-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.