Athletic and Therapeutic Institute of Naperville, LLC
Organization Active NPI Physical Therapist · Ottawa, IL
NPI 1629373352 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1629373352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
- Practice address
- 1306 Gemini Cir
Suite 3
Ottawa, IL 61350-1694 - Phone
- (815) 431-9980
- Fax
- (815) 431-9981
- NPI assigned
- Jan 11, 2011
- Organization subpart
- No
Authorized official
- Name
- Lynn McGivern
- Title
- Chief Compliance Officer
- Phone
- (630) 296-2222
Member of 1
Practitioners 1
-
Jason Hanks, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040903000494 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8325014020 |
Receives reassigned benefits from 503 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | IL | Yes |
Addresses
Primary practice location
1306 Gemini Cir
Suite 3
Ottawa, IL 61350-1694
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names
- ATI Physical Therapy
Other providers in Ottawa, IL
- Janell Kristin Armstrong
- Tasha Marie Arteaga
- Arukah Institute of Healing Inc NFP
- Arukah Institute of Healing Inc NFP
- Valerie Anne Arwood
- Brandon Aubry
- Auditorri Associates
- Beth Anne Aussem
- Mohammed Ahmad Awad
- Asim Khan Babar
All providers in Ottawa, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. 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.