Active NPI
Athletic & Therapeutic Institute of Naperville, LLC
Doing business as ATI Physical Therapy
- Physical Therapist
- Alsip, IL
National Provider Identifier
1093968299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ATHLETIC & THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
- Doing business as
- ATI Physical Therapy
- Practice address
- 12052 South Cicero Avenue
Alsip, IL 60803-2313 - Phone
- (708) 489-9940
- Fax
- (708) 489-9961
- NPI assigned
- Oct 31, 2008
- Last updated
- Nov 3, 2009
- 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) 296-2223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
12052 South Cicero Avenue
Alsip, IL 60803-2313
Mailing address
4947 Paysphere Cir
Chicago, IL 60674-0049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356148919 | Other | IL | DEPT OF LABOR |
Other names 1
- ATI Physical Therapy
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Oak Lawn, IL
- NPI 1790221158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257206400000",
"number": "1093968299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4947 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12052 SOUTH CICERO AVENUE",
"city": "ALSIP",
"state": "IL",
"postal_code": "608032313",
"telephone_number": "708-489-9940",
"fax_number": "708-489-9961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETIC & THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-31",
"last_updated": "2009-11-03",
"status": "A",
"authorized_official_last_name": "MCGIVERN",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "630-296-2223"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "356148919",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ATI Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alsip, IL
- Paola Ambrose, LDN RDN
- American Drug Stores LLC (Osco Drug #3098)
- Pinakin Ramanbhai Amin, M.D.
- Antonio Andere Jr.
- Arianne B. Comoro Consulting PLLC (Move to Restore Physical Therapy)
- Atwood Heights SCHL Dist 125
- Christopher L Barker, PT
- Annette R. Bartz, DPM
- Razia Sultana Baseer, MD
- Julia Read Bator, O.T.R.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.