Athletic & Therapeutic Institute of Milwaukee LLC
Organization Active NPI Physical Therapist · Wauwatosa, WI
NPI 1104138486 · NPPES record last updated Feb 10, 2026
Key facts
- NPI
- 1104138486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ATHLETIC & THERAPEUTIC INSTITUTE OF MILWAUKEE LLC
- Practice address
- 6810 W State St
Wauwatosa, WI 53213-2807 - Phone
- (414) 259-0623
- Fax
- (414) 259-0746
- NPI assigned
- Jul 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Wade A Meyer
- Title
- Chief Compliance Officer
- Phone
- (630) 296-2223
Other NPIs on the same Medicare enrollment 11
Practitioners 14
-
Michele Grob, PT, DPT,COMT
-
Michael A. Last, PT
-
Mark Probasco, DPT
-
Ann Slinde, PT
-
John Szivecz, MPT
-
Caitlin Wyman, DPT
-
Charlotte Baptie, OT
-
Sara J. Bennett, PT
-
Dawn Ann Waugh, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140616000469 | WI | Part B Supplier - Clinic/Group Practice | 2062469190 |
Receives reassigned benefits from 139 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Muskego, WI; Mequon, WI; New Berlin, WI; Oak Creek, WI; Oshkosh, WI; Sheboygan, WI; Waukesha, WI; Wauwatosa, WI… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | WI | Yes |
Addresses
Primary practice location
6810 W State St
Wauwatosa, WI 53213-2807
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (630) 296-2223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104138486 | Medicaid | WI | |
| 611826605 | Other | WI | DEPT OF LABOR |
Other names
- ATI Physical Therapy
Other providers in Wauwatosa, WI
- Ascension SE Wisconsin Hospital, Inc
- Amy L Asher
- Associated Mental Health Consultants Inc
- Associated Women Psychotherapists, SC
- Athlene a. Alexis, M.D., S.C.
- Athletic & Therapeutic Institute of Milwaukee LLC
- Athletico LTD
- Attentive Home Care, Inc
- Eric Jeffrey Augustin
- Aurora Advanced Healthcare, Inc.
All providers in Wauwatosa, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.