Individual provider Active NPI

Eric S Hughes, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1730397449
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015765 Issued in IL
Practice address
4001 N Broadway St
Chicago, IL 60613-2110
Phone
(309) 258-1116
Fax
(312) 489-2357
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 070015765 IL Primary

Addresses

Primary practice location

4001 N Broadway St
Chicago, IL 60613-2110

Mailing address

3121 N Kenmore Ave Apt 2
Chicago, IL 60657-3367
Phone (309) 258-1116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000700 IL Practitioner - Physical Therapist in Private Practice 2264600055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelpt, PLLCGroup PAC ID 3577941475, 2 clinicians

Practice addresses (Care Compare)

4001 N Broadway St
Chicago, IL 60613-2110
Phone (309) 258-1116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015765ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 15, 2017 Accepting new patients
Excelpt, PLLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 15, 2017 Accepting new patients
Lakeshore Integrative Healthcare, LTD Physical Therapist CurrentSince Dec 3, 2014 Accepting new patients

Locations

4001 N Broadway St
Chicago, IL 60613
Phone (309) 258-1116

2731 N Lincoln Ave
Chicago, IL 60614
Phone (312) 520-3274

750 N Orleans St
Ste 101
Chicago, IL 60654
Phone (312) 277-5252

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

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1730397449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N KENMORE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573367",
            "telephone_number": "309-258-1116",
            "fax_number": "312-489-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132110",
            "telephone_number": "309-258-1116",
            "fax_number": "312-489-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.