Joshua Benjamin Eriks, DPT
Individual provider Active NPI Physical Therapist · Genoa, IL
NPI 1205363298 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1205363298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.023076 (IL)
- Practice address
- 12752 Williams Rd
Genoa, IL 60135-7748 - Phone
- (815) 757-1356
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.023076 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ergonomics Physical Therapist | 2251E1200X | |||
| Hand Physical Therapist | 2251H1200X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 070.023076 | IL | Yes |
Addresses
Primary practice location
12752 Williams Rd
Genoa, IL 60135-7748
Mailing address
12752 Williams Rd
Genoa, IL 60135-7748
Phone (815) 757-1356
Other providers in Genoa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.