ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC (NPI# 1083937056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083937056 |
| Entity Type | Organization |
| Organization Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Other Organization Name | ATI OF MINOOKA |
| Practice Address |
2081 Ridge Rd Suite101 Minooka IL 60447-8848 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 8154671612 |
| Practice Fax Number | 8154671866 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2011-08-27 |
| Authorized Official Name | LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6302962222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEPT OF LABOR | 610128402 | 01 |
| IL | MEDICARE RAILROAD | DR5855 | 01 |
| Other Name | Type Code |
|---|---|
| ATI of Minooka | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023340155 | Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | 939 Burlington Avenue, Downers Grove, IL 60515 | 2010-01-29 |
| 1629397401 | Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | 110 Mooney Dr, Suite 5, Bourbonnais, IL 60914-2171 | 2010-05-19 |
| Street Address |
2081 RIDGE RD SUITE101 |
| City | MINOOKA |
| State | IL |
| Zip Code | 60447-8848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295929396 | Danielle M Adolph | Physical Therapist | 2081 Ridge Rd, Suite 101, Minooka, IL 60447-8848 | 2007-08-31 |
| 1578962973 | Genevieve Krumlinde | Physical Therapist | 2081 Ridge Rd, Ste 101, Minooka, IL 60447-8848 | 2014-08-21 |
| 1760793533 | Jean E Pempe | Physical Therapist | 2081 Ridge Rd, Suite 101, Minooka, IL 60447-8848 | 2010-06-28 |
| 1508034653 | Katherine Boll | Physical Therapist | 2081 Ridge Rd, Suite 101, Minooka, IL 60447-8848 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538596 | Wanda Hardy Perkins | Social Worker | 203 W Mondamin St, Minooka, IL 60447 | 2018-05-14 |
| 1629597729 | Jennifer Praveen | Psychologist | 333 Mcevilly Rd, Minooka, IL 60447 | 2017-09-11 |
| 1013164193 | Carrie Ann Skubic | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-20 |
| 1164624680 | Minooka Comm Hs Dist 111 | Local Education Agency (LEA) | 203 W Mondamin, Minooka, IL 60447 | 2007-06-05 |
| 1710196191 | Ridge Dental Group, Ltd | Dentist | 2003 Ridge Road, Minooka, IL 60447 | 2007-05-22 |
| 1629109020 | James Dale Mcgehee | Dentist | 123 Mondamin Street, Minooka, IL 60447 | 2007-03-08 |
| 1073554341 | Minooka Fire Protection District | Ambulance | 413 W Mondamin, Minooka, IL 60447 | 2006-06-09 |
| 1639110612 | Angela Solis | Counselor | 113 West Wapella Street, Suite 2, Minooka, IL 60447 | 2006-06-09 |
| 1811944366 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2051 Ridge Rd, Minooka, IL 60447 | 2006-05-30 |
| 1427205111 | Crossroads Counseling Services, LLC | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-25 |
| Find all providers in zip 60447 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598020984 | Erin Meyerhoff | Physical Therapist | 2081 Ridge Rd Ste 101, Minooka, IL 60447-8848 | 2012-07-11 |
| 1295929396 | Danielle M Adolph | Physical Therapist | 2081 Ridge Rd, Suite 101, Minooka, IL 60447-8848 | 2007-08-31 |
| 1023619806 | Jessica Nicole Suchaczewski | Physical Therapist | 2081 Ridge Rd Ste 101, Minooka, IL 60447-8848 | 2020-11-06 |
| 1306329255 | Robert Moauro | Physical Therapist | 2081 Ridge Rd Ste 101, Minooka, IL 60447-8848 | 2018-09-06 |
| 1609395789 | Teresa L Garrels | Physical Therapist | 2081 Ridge Rd Ste 101, Minooka, IL 60447-8848 | 2017-09-11 |
| 1578962973 | Genevieve Krumlinde | Physical Therapist | 2081 Ridge Rd, Ste 101, Minooka, IL 60447-8848 | 2014-08-21 |
| 1760793533 | Jean E Pempe | Physical Therapist | 2081 Ridge Rd, Suite 101, Minooka, IL 60447-8848 | 2010-06-28 |
| 1508034653 | Katherine Boll | Physical Therapist | 2081 Ridge Rd, Suite 101, Minooka, IL 60447-8848 | 2008-02-12 |
| 1023200615 | Frances Wedge | Physical Therapist | 1010 S Ridge Rd, Minooka, IL 60447-8810 | 2007-08-16 |
| 1730371329 | Paul Humphries | Physical Therapist | 1010 S Ridge Rd, Minooka, IL 60447-8810 | 2007-08-16 |
| Find all providers in MINOOKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.