Individual provider Active NPI

Richard W Eaden, MPT

  • Physical Therapist
  • Elgin, IL
National Provider Identifier
1265780183
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-019413 Issued in IL
Practice address
2972 Shamrock Cir
Elgin, IL 60124-4354
Phone
(224) 465-1479
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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 070-019413 IL Primary

Addresses

Primary practice location

2972 Shamrock Cir
Elgin, IL 60124-4354

Mailing address

2972 Shamrock Cir
Elgin, IL 60124-4354
Phone (224) 465-1479

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000446 IL Practitioner - Physical Therapist in Private Practice 9638320229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

2972 Shamrock Cir
Elgin, IL 60124-4354
Phone (224) 465-1479

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
92.42
Improvement activities
40
Cost
72.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-019413ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 6, 2020 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 20, 2012 Accepting new patients
- CurrentSince Feb 21, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 20, 2012 Accepting new patients
Adapt Therapy Associates LTD Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients

Locations

530 N Hough St
Ste 130
Barrington, IL 60010
Phone (847) 381-0090

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 294-8606

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Organizations & group practices 5

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1265780183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 SHAMROCK CIR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601244354",
            "telephone_number": "224-465-1479",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 SHAMROCK CIR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601244354",
            "telephone_number": "224-465-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADEN",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2022-04-11",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-019413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.