Ati Holdings, LLC
Organization Active NPI Physical Therapist · Salisbury, MD
NPI 1972986115 · NPPES record last updated Jul 7, 2015
Key facts
- NPI
- 1972986115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ATI HOLDINGS, LLC
- Practice address
- 1409 S Salisbury Blvd # C&D
Salisbury, MD 21801-7151 - Phone
- (667) 330-1061
- Fax
- (410) 334-3730
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Lynn McGivern
- Title
- Chief Compliance Officer
- Phone
- (630) 296-2222
Corporate family (same tax ID) 14
Practitioners 2
-
Travis Light, PT
-
Michael Bowdy, ATC
National Provider Directory
- Tax ID family
- Ati Holdings LLC
Locations
1409 S Salisbury Blvd
Salisbury, MD 21801
Phone (667) 330-1061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
1409 S Salisbury Blvd # C&D
Salisbury, MD 21801-7151
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names
- ATI Physical Therapy Salisbury South
NPI Registry JSON
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1972986115",
"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": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 S SALISBURY BLVD # C&D",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017151",
"telephone_number": "667-330-1061",
"fax_number": "410-334-3730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATI HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ATI Physical Therapy Salisbury South",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in Salisbury, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.