Healthcare Provider Details

I. General information

NPI: 1164327136
Provider Name (Legal Business Name): LIFELONG STRIDES PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24916 WINTERBERRY LN
PLAINFIELD IL
60585-5684
US

IV. Provider business mailing address

24916 WINTERBERRY LN
PLAINFIELD IL
60585-5684
US

V. Phone/Fax

Practice location:
  • Phone: 331-313-9255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SAKSHI JOSHI
Title or Position: MANAGER/OWNER
Credential: PT, DPT
Phone: 940-435-5326