PURE HEALTH PHYSICAL MEDICINE, LLC
NPI 1134466162
Family Medicine in Aurora, IL
About Pure Health Physical Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURE HEALTH PHYSICAL MEDICINE, LLC (NPI 1134466162) is a healthcare organization registered as a family medicine in Aurora, Illinois and active in the NPI registry since January 2013. The organization lists Kenneth Olson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pure Health Physical Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Pure Health Physical Medicine, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pure Health Physical Medicine, LLC's NPI number?
The NPI number for Pure Health Physical Medicine, LLC is 1134466162. It was assigned to this organization in the NPPES registry on January 10, 2013.
Where is Pure Health Physical Medicine, LLC located?
Pure Health Physical Medicine, LLC is located at 2116 W Galena Blvd Suite 112, Aurora, IL 60506. The listed phone number is (630) 897-1895.
What is Pure Health Physical Medicine, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pure Health Physical Medicine, LLC enrolled in Medicare?
Yes. Pure Health Physical Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pure Health Physical Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Pure Health Physical Medicine, LLC, in Chiropractic, Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pure Health Physical Medicine, LLC was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pure Health Physical Medicine, Llc · NPI 1134466162
Family Medicine organization in Aurora, Illinois. Organization record, active in the CMS NPPES registry since January 10, 2013.
## Identity
- **NPI:** 1134466162 (Entity type: Organization)
- **Enumerated:** January 10, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Olson, OWNER
## Practice location
- **Address:** 2116 W GALENA BLVD, SUITE 112, Aurora, IL 60506-3533
- **Phone:** (630) 897-1895
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Chiropractic (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
- **Other identifiers:** Other IL8252 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1134466162) · Data from the CMS NPPES public registry.