Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Kathleen Lopez

Individual provider Pediatric Physical Therapist · NPI 1407735012

Amanda Kathleen Lopez is a Physical Therapist in Private Practice in Park Ridge, Illinois. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025

Practice location Address checks out

1675 Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 723-4532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3232 Lake Ave, Wilmette, IL 60091-1073 — (224) 266-9411

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 070.029149 (IL)

Record details

NPI number1407735012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Park Ridge