Athletic and Therapeutic Institute of Milwaukee, LLC
Organization Active NPI Physical Therapist · Milwaukee, WI
NPI 1619252236 · NPPES record last updated Mar 22, 2012
Key facts
- NPI
- 1619252236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC
- Practice address
- 2330 N Farwell Ave
Milwaukee, WI 53211-4401 - Phone
- (414) 220-9084
- Fax
- (414) 220-9082
- NPI assigned
- Oct 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Lynn McGivern
- Title
- Chief Compliance Officer
- Phone
- (630) 296-2222
Other NPIs on the same Medicare enrollment 11
Member of 2
Practitioners 6
-
Christina Bryan, DPT
-
Michelle Compty, DPT
-
Pamela K Lofgren, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140616000469 | WI | Part B Supplier - Clinic/Group Practice | 2062469190 |
Receives reassigned benefits from 139 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Muskego, WI; Mequon, WI; New Berlin, WI; Oak Creek, WI; Oshkosh, WI; Sheboygan, WI; Waukesha, WI; Wauwatosa, WI… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
2330 N Farwell Ave
Milwaukee, WI 53211-4401
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other names
- ATI Physical Therapy
Other providers in Milwaukee, WI
- At Home Health Services LLC
- Atachd Transportation LLC
- Yasaman Ataei
- Ehab Atallah
- Athletic & Therapeutic Institute of Milwaukee, LLC
- Athletico LTD
- Sandy Sumingwa Atimama
- Atk Home Care
- Atk Home Care LLC
- Betty Atkins
All providers in Milwaukee, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.