Organization Active NPI

Amanda Imyak PLLC

Doing business as Diamond Lab Physical Therapy

  • Physical Therapy Clinic/Center
  • Highland Park, IL
National Provider Identifier
1861304412
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AMANDA IMYAK PLLC
Doing business as
Diamond Lab Physical Therapy
Practice address
2132 Green Bay Rd
Highland Park, IL 60035-2431
Phone
(847) 404-8078
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amanda Imyak, DPT
Title
Manager
Phone
(847) 404-8078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2132 Green Bay Rd
Highland Park, IL 60035-2431

Mailing address

725 Smoke Tree Rd
Deerfield, IL 60015-4556
Phone (847) 404-8078

Other names 1

  • Diamond Lab Physical Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1861304412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SMOKE TREE RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154556",
            "telephone_number": "847-404-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 GREEN BAY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352431",
            "telephone_number": "847-404-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA IMYAK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "IMYAK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-404-8078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Lab Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.