Pure PT Physical Therapy LLC
NPI 1417633868 · Physical Therapist · Orange City, FL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pure PT Physical Therapy LLC is a Physical Therapist organization in Orange City, FL (NPI 1417633868).
Provider details
- NPI number
- 1417633868
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Paul Kudlick, Owner/Physical Therapist(386) 575-4027
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Frequently asked questions
- What is Pure PT Physical Therapy LLC's NPI number?
- Pure PT Physical Therapy LLC's National Provider Identifier (NPI) is 1417633868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure PT Physical Therapy LLC?
- Pure PT Physical Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pure PT Physical Therapy LLC located?
- Pure PT Physical Therapy LLC's practice location on file with NPPES is 2864 Wellness Ave Ste 100, Orange City, FL 32763-8335.
- What is Pure PT Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Pure PT Physical Therapy LLC is (386) 575-4027.
- Does Pure PT Physical Therapy LLC accept Medicare?
- Pure PT Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pure PT Physical Therapy LLC?
- The authorized official listed on Pure PT Physical Therapy LLC's NPPES record is Paul Kudlick, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure PT Physical Therapy LLC's NPI active?
- Yes — Pure PT Physical Therapy LLC's NPI (1417633868) is active in the NPPES registry as of the last update on 2023-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.