Ati Holdings, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · West Grove, PA
NPI 1174715072 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1174715072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ATI HOLDINGS, LLC
- Practice address
- 105 Vineyard Way Ste 100
West Grove, PA 19390-8849 - Phone
- (610) 869-5792
- Fax
- (610) 869-5795
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Wade A Meyer
- Title
- VP Chief Compliance Officer
- Phone
- (630) 296-2222
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 4
Practitioners 440
-
Philip Beninato, PT
-
Tara Maria Bracciante, PT, DPT
-
Ryan Bratton, PT
-
Anne Elizabeth Brush, PT, DPT
-
Abby L Busko, PT
-
Lewis Caldwell, PT, ATC
-
Mary Katherine Carlin, PT, DPT
-
Gregory Carroll, PT
-
William A Clark, PT
-
Lauren Cook, MS OTR/L
-
Jerome Crawford II, DPT, M.S.
-
Lisa Ann D'Arcy, PT
-
Matthew Davis, DPT
-
Rukiya Tyrie Davis, PT, DPT
-
Faith Diaz, DPT
-
Michael Dillon, MSPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043019 | PA | DME Supplier - Independently-Practicing Physical Therapist |
9537112719 | Practice locations: West Grove, PA |
National Provider Directory
- Tax ID family
- Ati Holdings LLC
Locations
105 Vineyard Way
Ste 100
West Grove, PA 19390
Phone (610) 869-5792
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
105 Vineyard Way Ste 100
West Grove, PA 19390-8849
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other names
- ATI Physical Therapy
Other providers in West Grove, PA
- Advanced Orthopaedic Associates of PA
- Agility Life LLC
- Skye Altaire
- Nicholas Amicon
- Arthur B Belson MD
- Avon Grove Charter School
- Avon Grove School District
- Karen K Baird
- Leah Balsamo
- Stacy A. Bania
All providers in West Grove, PA · Durable Medical Equipment & Medical Supplies in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. 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.