Active NPI
Ati Holding LLC
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1467090399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ATI HOLDING LLC
- Practice address
- 2327-D Forest Dr
Annapolis, MD 21401-3865 - Phone
- (443) 782-7243
- Fax
- (410) 881-6514
- NPI assigned
- Dec 10, 2019
- Last updated
- Dec 10, 2019
- Organization subpart
- Yes
- Parent organization
- ATI HOLDING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Kirk
- Title
- Director
- Phone
- (708) 710-9931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2327-D Forest Dr
Annapolis, MD 21401-3865
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
National Provider Directory
National Provider Directory- Tax ID family
- Ati Holdings
- Part of
- Ati Holdings
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Physical Therapist
- Greenbelt, MD
- NPI 1487292314
Locations
2327 Forest Dr
Ste D
Annapolis, MD 21401
Phone (443) 782-7243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575936000000",
"number": "1467090399",
"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": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2327-D FOREST DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013865",
"telephone_number": "443-782-7243",
"fax_number": "410-881-6514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATI HOLDING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATI HOLDING LLC",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "708-710-9931"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.