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Active NPI 1043610199 Individual Practitioner Male Practitioner

Edward Ericksen

Physical Therapist • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Edward Ericksen is a certified Physical Therapist practicing in Bloomington, IL. With approximately 15 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 2011, Edward Ericksen delivers high-quality medical care to the local community at 1111 TRINITY LN STE 111.

Edward Ericksen maintains professional affiliations with Carle West Physician Group Inc, Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 Trinity Ln Ste 111

Bloomington, IL 617048112

Telephone 3096636461
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Bloomington, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +0.2 yrs vs City Avg
City Avg: 14.8 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
91 Specialists

Practicing in Bloomington, IL (12173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ericksen (15 Years) 15 Yrs
Bloomington Specialty Average (14.8 Years) 14.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
641 88 $100.00 $21.67
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
180 50 $115.00 $28.81
97140 Therapy procedure using manual technique, each 15 minutes
118 42 $89.00 $19.54
97113 Therapy procedure using water pool to exercises, each 15 minutes
57 12 $130.00 $28.33
97161 Evaluation of physical therapy, typically 20 minutes
20 20 $275.00 $94.97
97162 Evaluation for physical therapy, typically 30 minutes
17 17 $275.00 $94.97

Medical Specialties & State Licenses

CMS Verified: 2024-02-18
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License IL 070027646

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License OH PT.014702

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License WI 13706

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle West Physician Group Inc

2204 Eastland Dr, Bloomington, IL 617043567

Phone: 3096630222

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Secondary Practice Locations

2901 W Kinnickinnic River Pkwy Ste 500

Milwaukee, WI 532153683

Phone: 4146493250

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Physician Assistant (Certified)

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Doctor of Medicine (M.D.)

Abby Curtis , PT, MS, CLT

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Physical Therapist, Master of Science, Certified Lymphedema Therapist

NPI 1134690522

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location February 20, 2024

Registered at 1111 TRINITY LN STE 111, BLOOMINGTON, IL 617048112 (Tel: 3096636461)

📍
Updated Business Mailing Address February 20, 2024

Registered at 611 W PARK ST, FAPC, URBANA, IL 618012500

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Physical Therapist (License #PT.014702 in OH)

NPI Profile Active August 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2017

Registered at 2901 W KINNICKINNIC RIVER PKWY STE 500, MILWAUKEE, WI 532153683 (Tel: (414) 649-3250)

📍
Updated Business Mailing Address August 01, 2017

Registered at 2901 W KINNICKINNIC RIVER PKWY STE 500, MILWAUKEE, WI 532153683 (Tel: (414) 649-3250)

👤
Provider Name / Credentials Updated August 01, 2017

Recorded as EDWARD ERICKSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2017

Physical Therapist (License #13706 in WI)

NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2014

Registered at 10663 MONTGOMERY RD, STE A, CINCINNATI, OH 452424403 (Tel: 5133479999)

📍
Updated Business Mailing Address August 26, 2014

Registered at 10663 MONTGOMERY RD, STE A, CINCINNATI, OH 452424403 (Tel: 5133479999)

👤
Provider Name / Credentials Updated August 26, 2014

Recorded as EDWARD ERICKSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Physical Therapist (License #PT.014702 in OH)

🟢
Initial NPI Registration & Enumeration August 26, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043610199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2014
Last Update: February 20, 2024
Sole Proprietor: No

Mailing Address

611 W Park St, Fapc

Urbana, IL 618012500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.