Healthcare Provider Details
I. General information
NPI: 1972428100
Provider Name (Legal Business Name): AMARA PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 ROOSEVELT RD STE 220
GLEN ELLYN IL
60137-5839
US
IV. Provider business mailing address
1304 BAYOU PATH CT
NAPERVILLE IL
60563-3609
US
V. Phone/Fax
- Phone: 914-826-3426
- Fax:
- Phone: 914-826-3426
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAJANI
PARIKH
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT, CLT, CDNT
Phone: 914-826-3426