Active NPI
Athletic and Therapeutic Institute of Naperville, LLC
Doing business as ATI Physical Therapy Joliet Hand
- Hand Occupational Therapist
- Joliet, IL
National Provider Identifier
1093043606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- Legal business name
- ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
- Doing business as
- ATI Physical Therapy Joliet Hand
- Practice address
- 3082 Caton Farm Rd
Joliet, IL 60435-1455 - Phone
- (815) 577-9936
- Fax
- (815) 577-9938
- NPI assigned
- Nov 20, 2009
- Last updated
- Feb 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynn McGivern
- Title
- Chief Compliance Officer
- Phone
- (630) 296-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | NU | Primary |
Addresses
Primary practice location
3082 Caton Farm Rd
Joliet, IL 60435-1455
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names 1
- ATI Physical Therapy Joliet Hand
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040903000494 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8325014020 |
Receives reassigned benefits from 503 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Forest Hill, MD
- NPI 1013109099
Member Of
Locations
790 Remington Blvd
Chicago, IL 60674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392336000000",
"number": "1093043606",
"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": "3082 CATON FARM RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604351455",
"telephone_number": "815-577-9936",
"fax_number": "815-577-9938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-20",
"last_updated": "2014-02-14",
"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": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ATI Physical Therapy Joliet Hand",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Joliet, IL
- Tamer Atassi, M.D.
- Athletic &Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
- Athletic and Therapeutic Institute of Bourbonnais, LLC (ATI Physical Therapy)
- Athletic and Therapeutic Institute of Joliet LLC (Athletic and Therapeutic Institute of Joliet at Madison)
- Athletic and Therapeutic Institute of Naperville LLC (ATI Physical Therapy)
- Athletic and Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
- Athletic and Therapeutic Institute of Naperville, LLC (ATI Physical Therapy Joliet WSW)
- Athletico, LTD (Athletico Physical Therapy)
- Jurizon Atienza
- Aunt Martha's Health and Wellness, Inc. (Aunt Martha's Joliet East Community Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.