Athletic and Therapeutic Institute of Naperville, LLC

Organization Active NPI Physical Therapist · Countryside, IL

NPI 1952609752 · NPPES record last updated Mar 10, 2011

Key facts

NPI
1952609752
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Practice address
705 W. Plainfield Road
Suite 1
Countryside, IL 60525
Phone
(708) 352-1362
NPI assigned
Mar 3, 2011
Organization subpart
No

Authorized official

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

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

705 W. Plainfield Road
Suite 1
Countryside, IL 60525

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other names

  • ATI Physical Therapy Doing business as

Other providers in Countryside, IL

All providers in Countryside, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.