Active NPI
Athletic and Therapeutic Institute of Naperville LLC
- Physical Therapist
- Joliet, IL
National Provider Identifier
1124281860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC
- Practice address
- 2320-2324 West Jefferson Street
Joliet, IL 60435 - Phone
- (815) 741-3758
- Fax
- (815) 741-3974
- NPI assigned
- Jul 2, 2008
- 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
- Mark Bogovich
- Title
- Cfo
- Phone
- (630) 296-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2320-2324 West Jefferson Street
Joliet, IL 60435
Mailing address
4947 Paysphere Cir
Chicago, IL 60674-0049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356148910 | Other | IL | DEPARTMENT OF LABOR PROVIDER NUMBER |
Other names 1
- ATI Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Joliet, IL
- NPI 1144407354
-
- Physical Therapist
- Joliet, IL
- NPI 1114109790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236124800000",
"number": "1124281860",
"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": "2320-2324 WEST JEFFERSON STREET",
"city": "JOLIET",
"state": "IL",
"postal_code": "60435",
"telephone_number": "815-741-3758",
"fax_number": "815-741-3974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2009-03-04",
"status": "A",
"authorized_official_last_name": "BOGOVICH",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CFO",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR PROVIDER NUMBER",
"identifier": "356148910",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ATI Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Joliet, IL
- Associated Urological Specialists
- Tamer Atassi, M.D.
- Athletic &Therapeutic Institute of Naperville, LLC
- Athletic and Therapeutic Institute of Bourbonnais, LLC
- Athletic and Therapeutic Institute of Joliet LLC
- Athletic and Therapeutic Institute of Naperville, LLC
- Athletic and Therapeutic Institute of Naperville, LLC
- Athletic and Therapeutic Institute of Naperville, LLC
- Athletico, LTD
- Jurizon Atienza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.