Poorvi D Ajmera
Individual provider Active NPI Occupational Therapist · Long Grove, IL
NPI 1922280478 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1922280478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056016561 (IL)
- Practice address
- 1190 Old McHenry Rd
Long Grove, IL 60047-5088 - Phone
- (847) 713-1203
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Pittsburgh School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Senior Living LLC
Practice addresses (Care Compare)
1190 Old McHenry Rd
Long Grove, IL 60047-5088
Phone (224) 576-2183
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251016002894 | IL | Practitioner - Occupational Therapist in Private Practice | 2264929850 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056016561 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Senior Living LLC | Occupational Therapist | Current |
Accepting new patients |
| Reliant Senior Living LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
1190 Old McHenry Rd
Long Grove, IL 60047
Phone (224) 576-2183
5800 Granite Pkwy
Ste 325
Plano, TX 75024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056016561 | IL | Yes |
Addresses
Primary practice location
1190 Old McHenry Rd
Long Grove, IL 60047-5088
Mailing address
1353 Maidstone Dr
Vernon Hills, IL 60061-1089
Phone (412) 310-0760
Other providers in Long Grove, IL
- Adina Adelman
- Brenda Affinati
- Mario Affinati
- Jeric Agnes
- Faiza Saba Ahmed
- Harout James Akmakjian
- Sam Akmakjian
- Marwah Alchalabi
- Alden Long Grove Rehabilitation and Health Care Center, Inc.
- Alden-Long Grove Rehabilitation and Health Care Center, Inc.
All providers in Long Grove, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.