NPIMap

Organization Active NPI

Ati Holdings, LLC

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1033675335
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATI HOLDINGS, LLC
Practice address
817 Maiden Choice LN Ste 106
Baltimore, MD 21228-3680
Phone
(443) 297-1862
Fax
(410) 701-0902
NPI assigned
Feb 12, 2019
Last updated
Mar 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Authorized official

Name
Matt Kirk
Title
Director
Phone
(630) 296-2222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

817 Maiden Choice LN Ste 106
Baltimore, MD 21228-3680

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

National Provider Directory

National Provider Directory
Tax ID family
Ati Holdings146 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

817 Maiden Choice Ln
Ste 106
Catonsville, MD 21228
Phone (443) 297-1862

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551571200000",
    "number": "1033675335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MAIDEN CHOICE LN STE 106",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283680",
            "telephone_number": "443-297-1862",
            "fax_number": "410-701-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATI HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-03-03",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-296-2222"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.