NPIMap

Organization Active NPI

Ati Holdings, LLC

Doing business as ATI Physical Therapy Havre De Grace

  • Occupational Therapist
  • Havre de Grace, MD
National Provider Identifier
1922480714
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ATI HOLDINGS, LLC
Doing business as
ATI Physical Therapy Havre De Grace
Practice address
251 Lewis LN Ste 104
Havre de Grace, MD 21078-3752
Phone
(410) 939-8530
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Lynn McGivern
Title
Chief Compliance Officer
Phone
(630) 296-2222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

251 Lewis LN Ste 104
Havre de Grace, MD 21078-3752

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • ATI Physical Therapy Havre De Grace Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ati Holdings146 organizations share this tax ID, including this one

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.

View all 24

Locations

251 Lewis Ln
Ste 104
Havre de Grace, MD 21078
Phone (410) 939-8530

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1922480714",
    "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": "251 LEWIS LN STE 104",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783752",
            "telephone_number": "410-939-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATI HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "MCGIVERN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "630-296-2222"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Physical Therapy Havre De Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.