Athletic and Therapeutic Institute of Naperville, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC

Practice address

972 Brook Forest Ave
Shorewood, IL 60431-8807

Phone

(815) 439-4938

Fax

(815) 439-7816

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• ATI Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1609015700

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1194836742",
    "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",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 BROOK FOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604318807",
            "telephone_number": "815-439-4938",
            "fax_number": "815-439-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-04-07",
        "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": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932375",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7809735",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR PROVIDER NUMBER",
            "identifier": "611827800",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Drug Stores LLC
• Kimberly Lynn Anderson, MS, OTR/L
• Angelica Lara LLC
• Kristine L Aquisap, PT
• Armm Labs Inc
• B Jercinovic Pediatrics LTD
• Ariana Hope Baaske
• Riley Ann Badertscher
• Chena Baity, BACHELORS, MASTERS,
• Lauren Baloun, DPT

• Physical Therapist in Shorewood, IL
• Providers in Shorewood, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.

Verify at the official NPI Registry.