NPIMap

Organization Active NPI

Performance Rehabilitation of Western New England LLC

Doing business as ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
National Provider Identifier
1376140566
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC
Doing business as
ATI Physical Therapy
Practice address
70 Post Office Park Ste 7007
Wilbraham, MA 01095-1291
Phone
(413) 279-1435
Fax
(413) 279-1438
NPI assigned
Oct 1, 2020
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Wade A Meyer
Title
VP Chief Compliance Officer
Phone
(630) 296-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

70 Post Office Park Ste 7007
Wilbraham, MA 01095-1291

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • ATI Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223000931 MA DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 7911979950 Practice locations: Wilbraham, MA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Performance Rehabilitation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

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

Locations

197 Massachusetts Ave
Boston, MA 02115
Phone (617) 399-7330

25 Drydock Ave
Rm 251008
Boston, MA 02210

425 Brookline Ave
Boston, MA 02215
Phone (617) 232-4018

460 Providence Hwy
Dedham, MA 02026
Phone (781) 237-5585

4110 Mystic Valley Pkwy
Ste 12
Medford, MA 02155
Phone (781) 960-6030

947 Worcester St
Natick, MA 01760
Phone (508) 720-0258

1340 Centre St
Ste 105
Newton Center, MA 02459
Phone (617) 467-3076

14 McGrath Hwy
Unit 5
Somerville, MA 02143
Phone (617) 284-9418

141 Boston Post Rd
Sudbury, MA 01776
Phone (781) 541-5111

536 Boston Post Rd
Bldg 5
Sudbury, MA 01776
Phone (978) 639-4800

1092 Lexington St
Waltham, MA 02452
Phone (781) 906-8442

1111 Elm St
Ste 33
West Springfield, MA 01089
Phone (413) 781-1054

70 Post Office Park
#707
Wilbraham, MA 01095
Phone (413) 279-1435

Practitioners & affiliated clinicians

Practitioners 333

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.

View all 333

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1376140566",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 POST OFFICE PARK STE 7007",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951291",
            "telephone_number": "413-279-1435",
            "fax_number": "413-279-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "630-296-2222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.