Healthcare Provider Details

I. General information

NPI: 1558271262
Provider Name (Legal Business Name): TPIPT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2133 W DIVISION ST
CHICAGO IL
60622-3036
US

IV. Provider business mailing address

2133 W DIVISION ST
CHICAGO IL
60622-3036
US

V. Phone/Fax

Practice location:
  • Phone: 312-798-9385
  • Fax:
Mailing address:
  • Phone: 312-798-9385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. AMANDA NERI
Title or Position: PT
Credential:
Phone: 312-545-2699