Active NPI
Michelle Chernyavsky
- Physical Therapist
- Wheeling, IL
National Provider Identifier
1508643206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 259 E Dundee Rd
Wheeling, IL 60090-3006 - Phone
- (847) 877-2405
- NPI assigned
- Sep 14, 2023
- Last updated
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary | |
| Geriatric Physical Therapist | 2251G0304X | NU | ||
| Neurology Physical Therapist | 2251N0400X | NU | ||
| Pediatric Physical Therapist | 2251P0200X | NU |
Addresses
Primary practice location
259 E Dundee Rd
Wheeling, IL 60090-3006
Mailing address
89 Manchester Dr
Buffalo Grove, IL 60089-6768
Phone (847) 877-2405
Other practice location 1
1300 Busch Pkwy
Buffalo Grove, IL 60089-4505
Phone (847) 378-4970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Saint Louis University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
259 E Dundee Rd
Wheeling, IL 60090-3006
Phone (847) 877-2405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiance Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
259 E Dundee Rd
Wheeling, IL 60090
Phone (847) 340-5554
Organizations & group practices 1
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.
-
- Physical Therapist
- Wheeling, IL
- NPI 1235985888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1508643206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 MANCHESTER DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896768",
"telephone_number": "847-877-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E DUNDEE RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600903006",
"telephone_number": "847-877-2405"
}
],
"practiceLocations": [
{
"address_1": "1300 Busch Pkwy",
"address_purpose": "LOCATION",
"city": "Buffalo Grove",
"state": "IL",
"postal_code": "600894505",
"country_code": "US",
"telephone_number": "847-378-4970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERNYAVSKY",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.