AMANDA KATHLEEN LOPEZ
NPI 1407735012
Physical Therapist - Pediatrics in Park Ridge, IL

Q: What is Amanda Lopez's NPI number?

The NPI number for Amanda Lopez is 1407735012. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Q: What is Amanda Lopez's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Lopez was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2025

1675 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-4532 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Kathleen Lopez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA KATHLEEN LOPEZ (NPI 1407735012) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (070.029149) and active in the NPI registry since August 2025. She maintains a secondary practice location in Wilmette and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407735012

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameAMANDA KATHLEEN LOPEZ

Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(847) 723-4532

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 28, 2025

Last NPPES UpdateNovember 21, 2025

NPPES CertifiedNovember 21, 2025

✔ NPI 1407735012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in IL · 070.029149

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

1675 DEMPSTER ST, Park Ridge, IL 60068

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Secondary Practice Location 1

Location 13232 Lake AveWilmette, IL 60091-1073 · Phone (224) 266-9411

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Kathleen Lopez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204327703

PECOS Enrollment IDI20251112003471

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYUBIN KYUNG DO

Pediatrics

1675 DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 318-9300

DR. NOUR AKHRAS M.D.

Pediatrics

1675 DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 318-9300

DR. JURAT SINGH RAJPAL M.D.

Pediatrics (Pediatric Nephrology)

1675 DEMPSTER ST, SECOND FLOOR
PARK RIDGE, IL 60068

Cook County (847) 318-9330

DR. CHRISTOPHER M JAMERSON M.D.

Pediatrics

1675 DEMPSTER ST, YACKTMAN PAVILION
PARK RIDGE, IL 60068

Cook County (847) 723-9557

SUSAN MICHELE UNFER M.D.

Pediatrics

1675 DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 318-9300

DR. WILLIAM RICHARD GOODELL M.D.

Pediatrics (Pediatric Hematology-Oncology)

1675 DEMPSTER ST, 2ND FLOOR
PARK RIDGE, IL 60068

Cook County (847) 723-9400

RABIAH BASITH

Pediatrics

1675 DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 318-9300

JASPER KUHN MD

Pediatrics

1675 DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 723-2210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Lopez's NPI number?

The NPI number for Amanda Lopez is 1407735012. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Amanda Lopez located?

Amanda Lopez practices at 1675 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-4532.

What is Amanda Lopez's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Amanda Lopez enrolled in Medicare?

Yes. Amanda Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Lopez was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.