Individual provider Active NPI

Eric Dwight Huffman, PT, BS, MBA

  • Physical Therapist
  • Flower Mound, TX
National Provider Identifier
1235122839
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1115194 Issued in TX
Practice address
6050 Long Prairie Rd
#600
Flower Mound, TX 75028-5613
Phone
(972) 539-5795
Fax
(972) 539-5793
NPI assigned
Aug 30, 2005
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1115194 TX Primary

Addresses

Primary practice location

6050 Long Prairie Rd
#600
Flower Mound, TX 75028-5613

Mailing address

6050 Long Prairie Rd
#600
Flower Mound, TX 75028-5613
Phone (972) 539-5795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000306 TX Practitioner - Physical Therapist in Private Practice 2961422332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E.D. Huffman Enterprises PLLCGroup PAC ID 5799705166, 2 clinicians

Practice addresses (Care Compare)

3301 Long Prairie Rd
Suite 125
Flower Mound, TX 75022-5908
Phone (972) 539-5795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
1115194TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Prairie Rehabilitation Physical Therapist PastSince Dec 1, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eric@jimp-tx.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1235122839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 LONG PRAIRIE RD",
            "address_2": "#600",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285613",
            "telephone_number": "972-539-5795",
            "fax_number": "972-539-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 LONG PRAIRIE RD",
            "address_2": "#600",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285613",
            "telephone_number": "972-539-5795",
            "fax_number": "972-539-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "ERIC",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "PT, BS, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1115194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.