Pure Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PURE PHYSICAL THERAPY LLC

Practice address

1516 Greystone Dr
Gurnee, IL 60031-9128

Phone

(414) 698-3666

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Leonid Cherbukhovsky, DPTNPI 1437407186

Title

Physical Therapist

Phone

(414) 698-3666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonid Cherbukhovsky, DPT

  • Physical Therapist
  • Deerfield, IL
  • NPI 1437407186
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1790545382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 GREYSTONE DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319128",
            "telephone_number": "414-698-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 GREYSTONE DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319128",
            "telephone_number": "414-698-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "CHERBUKHOVSKY",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "414-698-3666",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provida Health Center SC
• Susan Elizabeth Prust, PT DIP MDT
• Jerilyn Kay Prybell, O.D.
• Victoria G Pugh
• Kelly Jean Purcell, PA-C
• Arthur Warren Purkel Jr., PH.D.
• Vidya Jaganath Puthenveetil, M.D.
• Louise Quist, RN
• Kermit Radke, DMD
• Bao-Lan Raikar, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.