Pure Physical Therapy LLC
NPI 1790545382ActiveOrganization· Physical Therapist· Gurnee, IL
Physical Therapist in Gurnee, Illinois, registered in NPPES in March 2024. The authorized official on file is Leonid Cherbukhovsky, DPT, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1790545382 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2024 |
| Last updated in NPPES | May 31, 2024 |
| Certified by provider | May 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IL) |
|---|
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