Healthcare Provider Details

I. General information

NPI: 1932585635
Provider Name (Legal Business Name): LOVING STRIDES THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2015
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7526 FINNIE RD
NEWARK IL
60541-9451
US

IV. Provider business mailing address

7526 FINNIE RD
NEWARK IL
60541-9451
US

V. Phone/Fax

Practice location:
  • Phone: 630-878-8114
  • Fax: 630-230-5068
Mailing address:
  • Phone: 630-878-8114
  • Fax: 630-230-5068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number070.010672
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number070.010672
License Number StateIL

VIII. Authorized Official

Name: MRS. MARCIA K PAKENHAM
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: MPT
Phone: 630-878-8114