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ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
NPI 1124766696
Durable Medical Equipment & Medical Supplies in Columbia, IL

Active since May 25, 2022
1000 ELEVEN S STE 1B, COLUMBIA, IL 62236(618) 281-9699 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2025, Jun 24, 2025, Jun 20, 2024 and 1 more (4 updates tracked since 2022).

About Athletic And Therapeutic Institute Of Bourbonnais, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC (NPI 1124766696) is a healthcare organization registered as a durable medical equipment & medical supplies in Columbia, Illinois and active in the NPI registry since May 2022. The organization lists Wade A Meyer, Vp Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1124766696
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Location Address1000 ELEVEN S STE 1BColumbia, IL 62236-1078
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211
Phone(618) 281-9699
Organization SubpartNo
Authorized OfficialWade A MeyerVp Chief Compliance Officer · (630) 296-2222
Enumeration DateMay 25, 2022
Last NPPES UpdateDecember 31, 20254 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1124766696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1000 ELEVEN S STE 1B, Columbia, IL 62236
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG SCHAEFER DPT
Physical Therapist
1000 ELEVEN S STE 1B
COLUMBIA, IL 62236
Monroe County (618) 281-9699
TAYLOR PAVLAK DPT
Physical Therapist
1000 ELEVEN S STE 1B
COLUMBIA, IL 62236
Monroe County (618) 550-9107
JASON R DELANEY PT
Physical Therapist
1000 ELEVEN S STE 1B
COLUMBIA, IL 62236
Monroe County (618) 281-9699
MINDY RENEE MCFARLAND M.O.T.
Occupational Therapist
1000 ELEVEN S STE 1B
COLUMBIA, IL 62236
Monroe County (618) 281-9699
JENNIFER FLICK
Physical Therapist
1000 ELEVEN S STE 1B
COLUMBIA, IL 62236
Monroe County (618) 281-9699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athletic And Therapeutic Institute Of Bourbonnais, LLC's NPI number?

The NPI number for Athletic And Therapeutic Institute Of Bourbonnais, LLC is 1124766696. It was assigned to this organization in the NPPES registry on May 25, 2022.

Where is Athletic And Therapeutic Institute Of Bourbonnais, LLC located?

Athletic And Therapeutic Institute Of Bourbonnais, LLC is located at 1000 Eleven S Ste 1B, Columbia, IL 62236. The listed phone number is (618) 281-9699.

What is Athletic And Therapeutic Institute Of Bourbonnais, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Athletic And Therapeutic Institute Of Bourbonnais, LLC was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.