Active NPI
Ati Holdings, LLC
Doing business as ATI Physical Therapy Randallstown
- Physical Therapist
- Randallstown, MD
National Provider Identifier
1932581733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ATI HOLDINGS, LLC
- Doing business as
- ATI Physical Therapy Randallstown
- Practice address
- 8511 Liberty Rd Ste BB
Randallstown, MD 21133-4837 - Phone
- (443) 426-9100
- Fax
- (410) 922-0679
- NPI assigned
- Jun 29, 2015
- Last updated
- Jun 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynn McGivern
- Title
- Credentialing Specialist
- Phone
- (630) 296-2222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
8511 Liberty Rd Ste BB
Randallstown, MD 21133-4837
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other names 1
- ATI Physical Therapy Randallstown
National Provider Directory
National Provider Directory- Tax ID family
- Pro Physical Therapy
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.
Locations
8511 Liberty Rd
Ste Bb
Randallstown, MD 21133
Phone (443) 426-9100
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": "1932581733",
"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": "8511 LIBERTY RD STE BB",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334837",
"telephone_number": "443-426-9100",
"fax_number": "410-922-0679"
}
],
"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": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "630-296-2222"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ATI Physical Therapy Randallstown",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Randallstown, 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.