Sarun Chanprung

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

30 S Northwest Hwy
Palatine, IL 60074-6231

Phone

(224) 218-2984

NPI assigned

Feb 12, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Relive Physical Therapy LLCGroup PAC ID 6305100629, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Relive Physical Therapy LLC

  • Physical Therapist
  • Glenview, IL
  • NPI 1730689969
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1427863661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746231",
            "telephone_number": "224-218-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANPRUNG",
        "first_name": "SARUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seoyeon Cha, PHARM.D.
• Vartan Chakalian, DC
• Annalee Rose Chalker, RBT
• Wajih Chammae
• Jainali Vyas Chanan, RD, LDN
• Joshua Lee Chapin, MT-BC
• Kathy S Chase, L.C.P.C.
• Simona Alexandra Cheskis, D.D.S.
• Shima Chia, PA-C
• Chicago Healthcare Centers SC

• Physical Therapist in Palatine, IL
• Providers in Palatine, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.