Athletic & Therapeutic Institute of Naperville, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETIC & THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC

Practice address

684 W North Ave
Elmhurst, IL 60126-2129

Phone

(630) 617-5489

Fax

(630) 617-5723

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mark Bogovich

Title

Cfo

Phone

(630) 296-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ATI Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Kelly Owen, PT

  • Physical Therapist
  • Plainfield, IL
  • NPI 1184889727
  NPD

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1649461302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740049",
            "telephone_number": "630-783-2001",
            "fax_number": "630-783-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 W NORTH AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262129",
            "telephone_number": "630-617-5489",
            "fax_number": "630-617-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC & THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "BOGOVICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-296-2222"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR PROVIDER NUMBER",
            "identifier": "356148912",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Associated Hearing AIDS of Il Inc
• Associated Pathology Consultants-Elmhurst, S.C.
• Associates for Dental Sleep Medicine, LTD
• Associates for Dental Sleep Medicine, LTD
• Associates in Digestive Diseases, LTD.
• Athletico LTD
• Erica C Attanasio, DO
• Noah E Atwi, M.D.
• Beth Ann Avanzado, MSN, APN, FNP-C
• Nicolette Ashley Avery

• Physical Therapist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.