Organization Active NPI

Athlete Performance LLC

  • Physical Therapist
  • Mount Prospect, IL
National Provider Identifier
1285409730
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATHLETE PERFORMANCE LLC
Practice address
350 W Kensington Rd
Mount Prospect, IL 60056-1141
Phone
(773) 600-4200
NPI assigned
Nov 15, 2023
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Sobarnia, DPTNPI 1497487920
Title
Doctor of Physical Therapy
Phone
(773) 600-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

350 W Kensington Rd
Mount Prospect, IL 60056-1141

Mailing address

3517 N Neva Ave
Chicago, IL 60634-3632
Phone (773) 600-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240502003477 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426498767 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Prospect, IL

National Provider Directory

National Provider Directory

Locations

350 W Kensington Rd
Mt Prospect, IL 60056
Phone (773) 600-4200

350 W Kensington Rd
Ste 107
Mt Prospect, IL 60056
Phone (773) 600-4200

455 E State Pkwy
Ste 105
Schaumburg, IL 60173
Phone (773) 600-4200

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1285409730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 N NEVA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343632",
            "telephone_number": "773-600-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "773-600-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETE PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "SOBARNIA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "773-600-4200",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.