Athletic and Therapeutic Institute of Naperville, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC

Practice address

335 W Irving Park Rd
Wood Dale, IL 60191-1357

Phone

(630) 238-7940

NPI assigned

Sep 7, 2011

Organization subpart

No

Name

Lynn McGivern

Title

Chief Compliance Officer

Phone

(630) 296-2222

Organizations this organization is a member of, according to the National Provider Directory.

• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1609015700

  Member Of

  NPD member

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Burton

  • Physical Therapist
  • Naperville, IL
  • NPI 1942388665
  NPD
• Brett Fahnstrom, DPT

  • Physical Therapist
  • Aurora, IL
  • NPI 1710380746
  NPD

Medicare fee-for-service enrollment

Enrolled in IL

• ATI Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2011.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1043591878",
    "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": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911357",
            "telephone_number": "630-238-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "MCGIVERN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "630-296-2222"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Surgery Care
• Amore Medix Co.
• Lauren Elizabeth Amore, NURSE PRACTITIONER
• Amoremedix Medical Group PLLC
• Anand Soni D.D.S
• Kristi Vecellio Bachelder, OTR/L
• Carrie Balian
• Guntas Bansi
• Norma Barajas, INTERPRETER
• BK Dental LLC

• All providers in Wood Dale, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.