Provider Demographics
NPI:1821283649
Name:ATI HOLDINGS, LLC
Entity Type:Organization
Organization Name:ATI HOLDINGS, LLC
Other - Org Name:ATI PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-783-2001
Mailing Address - Street 1:1408 JOLIET RD
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-4064
Mailing Address - Country:US
Mailing Address - Phone:630-783-2001
Mailing Address - Fax:630-633-0117
Practice Address - Street 1:1408 JOLIET RD
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-4064
Practice Address - Country:US
Practice Address - Phone:630-783-2001
Practice Address - Fax:630-633-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty