Active NPI
Athletic & Therapeutic Institute of Naperville, LLC
- Physical Therapist
- Rockford, IL
National Provider Identifier
1972787653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ATHLETIC & THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
- Practice address
- 735 Highgrove PL
Rockford, IL 61108-2520 - Phone
- (815) 226-4365
- Fax
- (815) 226-4589
- NPI assigned
- Dec 18, 2007
- 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
- Chief Compliance Officer
- Phone
- (630) 296-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
735 Highgrove PL
Rockford, IL 61108-2520
Mailing address
4947 Paysphere Cir
Chicago, IL 60674-0001
Phone (630) 296-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 356148914 | Other | IL | DEPARTMENT OF LABOR PROVIDER NUMBER |
Other names 1
- ATI Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Northbrook, IL
- NPI 1265833016
-
- Occupational Therapist
- Joliet, IL
- NPI 1679514350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323388800000",
"number": "1972787653",
"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": "606740001",
"telephone_number": "630-296-2222",
"fax_number": "630-759-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 HIGHGROVE PL",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082520",
"telephone_number": "815-226-4365",
"fax_number": "815-226-4589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETIC & THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-18",
"last_updated": "2011-12-09",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR PROVIDER NUMBER",
"identifier": "356148914",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ATI Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.