Provider Demographics
NPI:1750991030
Name:LOGHMANI, PARISA (PT, DPT)
Entity type:Individual
Prefix:
First Name:PARISA
Middle Name:
Last Name:LOGHMANI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:305-424-9361
Practice Address - Street 1:180 N STETSON AVE LBBY CL10
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-6826
Practice Address - Country:US
Practice Address - Phone:312-379-0000
Practice Address - Fax:312-379-0001
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045902225100000X
FLPT38662225100000X
IL070029249225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist