Individual provider Active NPI

Eileen Frances Huffman, MS, PT, DPT, CLT

  • Physical Therapist
  • Oak Park, IL
National Provider Identifier
1497048458
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013488 Issued in IL
Practice address
813 Wesley Ave
Oak Park, IL 60304-1319
Phone
(773) 230-2672
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 070013488 IL Primary

Addresses

Primary practice location

813 Wesley Ave
Oak Park, IL 60304-1319

Mailing address

813 Wesley Ave
Oak Park, IL 60304-1319
Phone (773) 230-2672

Other names 1

  • Ms. Eileen Frances Runtz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070013488ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1497048458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 WESLEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041319",
            "telephone_number": "773-230-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 WESLEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041319",
            "telephone_number": "773-230-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "EILEEN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "MS, PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "RUNTZ",
            "middle_name": "FRANCES",
            "prefix": "MS.",
            "credential": "MS, PT, DPT, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.