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

3008 S Halsted St
Suite 116
Chicago, IL 60608-5805

Phone

(312) 842-1205

Fax

(312) 842-1356

NPI assigned

Apr 28, 2010

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 names 1

• ATI Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Ann Benkowski, MHS, P.T.

  • Physical Therapist
  • Oak Lawn, IL
  • NPI 1548246580
  NPD
• Richard Bloomberg, PT

  • Physical Therapist
  • Hazel Crest, IL
  • NPI 1669647723
  NPD
• Kristine Maya, DPT

  • Physical Therapist
  • Largo, FL
  • NPI 1174073357
  NPD

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1356668586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 S HALSTED ST",
            "address_2": "SUITE 116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085805",
            "telephone_number": "312-842-1205",
            "fax_number": "312-842-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Athey, MSN, APN
• Aravind Athiviraham, M.D.
• Athletic & Therapeutic Institute of Naperville, LLC
• Athletic & Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC

• Physical Therapist in Chicago, IL
• Providers in Chicago, 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.