Yorkville Physical Therapy and Sports Medicine Center, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

YORKVILLE PHYSICAL THERAPY AND SPORTS MEDICINE CENTER, LLC

Doing business as

Atlas Physical Therapy & Sports Medicine

Practice address

1900 Ogden Ave
Suite 205
Aurora, IL 60504-4273

Phone

(630) 553-0349

NPI assigned

May 20, 2006

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Clark, P.T.NPI 1245226141

Title

Owner

Phone

(630) 978-6218

Specialties & licenses 1

Addresses

Other names 1

• Atlas Physical Therapy & Sports Medicine Doing business as

Locations

Practitioners 4

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.

• Charles Clark, P.T.

  • Physical Therapist
  • Aurora, IL
  • NPI 1245226141
  NPD (past) Authorized official
• Angela Kajtsa, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Yorkville, IL
  • NPI 1336112218
  NPD (past)
• Cathy McMillan, PTA

  • Physical Therapy Assistant
  • Aurora, IL
  • NPI 1720286925
  NPD (past)
• Matthew Nauman, PT

  • Physical Therapist
  • Gurnee, IL
  • NPI 1235398694
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1053365403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OGDEN AVE",
            "address_2": "SUITE 205",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OGDEN AVE",
            "address_2": "SUITE 205",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044273",
            "telephone_number": "630-553-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKVILLE PHYSICAL THERAPY AND SPORTS MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-978-6218",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Physical Therapy & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Yehyawi, PA-C
• Angela Yench, M.A., LCPC
• Kenneth Yokosawa, M.D.
• David K Yoo, MD
• Yorkville Internists, S.C.
• Young Dental Care, LTD.
• Udoka Young-Onuegbu, MD
• Bethany A Young, RN
• Elayne Catherine Young
• Kimberley M Young, DDS

• Physical Therapist in Aurora, IL
• Providers in Aurora, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.