Athletic and Therapeutic Institute of Naperville, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC

Practice address

1226 S Canal St
Chicago, IL 60607-5213

Phone

(312) 733-8958

Fax

(312) 733-9447

NPI assigned

Feb 2, 2010

Organization subpart

No

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 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1609015700

  Member Of

  NPD member

Practitioners 1

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

• Amanda M Gentile, PT

  • Physical Therapist
  • Des Plaines, IL
  • NPI 1942585120
  NPD

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1942532932",
    "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": "1226 S CANAL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075213",
            "telephone_number": "312-733-8958",
            "fax_number": "312-733-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2011-04-07",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "610078608",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville, LLC
• Athletic and Therapeutic Institute of Naperville,LLC
• Athletic and Therapeutic Institute of Naperville,LLC
• Athletic Edge Physical Therapy LLC
• Athletic Outcomes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.