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

Amy Wisdom

Individual provider Physical Therapy Assistant · NPI 1962111914

Amy Wisdom is a Physical Therapy Assistant in Lisle, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

1800 Robin Ln
Lisle, IL 60532-2086
Phone: (630) 353-5508
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.006246 (IL)

Record details

NPI number1962111914
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022
Mailing address117 Grant Ave, Geneva, IL 60134-1919

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