Healthcare Provider Details

I. General information

NPI: 1558218321
Provider Name (Legal Business Name): THE SENSORY LOFT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 E HIGHLAND AVE
MOUNT PROSPECT IL
60056-2136
US

IV. Provider business mailing address

402 E HIGHLAND AVE
MOUNT PROSPECT IL
60056-2136
US

V. Phone/Fax

Practice location:
  • Phone: 847-660-8533
  • Fax:
Mailing address:
  • Phone: 847-660-8533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MEGHANA MANI
Title or Position: OCCUPATIONAL THERAPIST
Credential: MOTR/L
Phone: 847-660-8533