ATI PHYSICAL THERAPY BRADLEY HAND – NPI #1760897219
Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

ATI PHYSICAL THERAPY BRADLEY HAND is a DME supplier located in BRADLEY, IL. NPPES has assigned the NPI number 1760897219 to ATI PHYSICAL THERAPY BRADLEY HAND on June 24, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ATI PHYSICAL THERAPY BRADLEY HAND” is a dba name, the actual legal business name for this organization is ATHLETIC & THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

The NPI profile was previously updated about 7 years ago on Jan 02, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATI PHYSICAL THERAPY BRADLEY HAND below.

NPI Profile for
ATHLETIC & THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC

NPI Number
1760897219
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATHLETIC & THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Doing Business As (dba): ATI PHYSICAL THERAPY BRADLEY HAND
Primary location
400 S KENNEDY DR
SUITE 500
BRADLEY, IL 60915-2682
Phone: (815) 936-0400 Fax: (815) 936-0416
Mailing address
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone: (630) 296-2223 Fax:
Organization Subpart
No
Authorized Official
LYNN MCGIVERN
CHIEF COMPLIANCE OFFICER
Phone: (630) 296-2222
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332B00000X
- Durable Medical Equipment & Medical Supplies (Primary)
IL
225X00000X
- Occupational Therapist
IL
225100000X
- Physical Therapist
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.