Healthcare Provider Details

I. General information

NPI: 1447396270
Provider Name (Legal Business Name): THERAPY PROVIDERS OF AMERICA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 W 95TH ST THERAPY PROVIDERS
OAK LAWN IL
60453-2621
US

IV. Provider business mailing address

4505 W 95TH ST
OAK LAWN IL
60453-2621
US

V. Phone/Fax

Practice location:
  • Phone: 708-229-0081
  • Fax: 708-229-3964
Mailing address:
  • Phone: 708-229-0081
  • Fax: 708-229-0084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SHARIQ FARUQI
Title or Position: BILLER
Credential:
Phone: 419-377-4638