ATI PT
NPI 1629397401
Physical Therapist in Bourbonnais, IL

Active since May 19, 2010
110 MOONEY DR, SUITE 5, BOURBONNAIS, IL 60914(815) 936-0611(815) 936-0564 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ati Pt NPPES

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

ATI PT (NPI 1629397401) is a healthcare organization registered as a physical therapist in Bourbonnais, Illinois and active in the NPI registry since May 2010. The organization lists Lynn Mcgivern, Cco, as its authorized official.

NPPES Registry Identity

NPI1629397401
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameATHLETIC & THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Location Address110 MOONEY DR, SUITE 5Bourbonnais, IL 60914-2171
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (630) 296-2223
Fax(815) 936-0564
Organization SubpartNo
Authorized OfficialLynn McgivernCco · (630) 296-2222
Enumeration DateMay 19, 2010
Last NPPES UpdateFebruary 18, 2022
NPPES CertifiedFebruary 18, 2022
✔ NPI 1629397401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
110 MOONEY DR, Bourbonnais, IL 60914

Other Names 1

Other NameAti Pt

Other Identifiers 1

Medicaid1629397401IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ati Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20040923000220Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

406

Medicare enrollment records show 406 clinicians reassign Medicare billing to Ati Pt, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice372
Occupational Therapist in Private Practice34

Nearest to this location (20)

See all 406
Physical Therapist in Private Practice
NPI 1285972000
1275 N CONVENT ST STE 3
Bourbonnais, IL 60914
(815) 936-1855
✔ Accepts Medicare1.4 mi
Physical Therapist in Private Practice
NPI 1841221314
1275 N CONVENT ST SUITE 3
Bourbonnais, IL 60914
(815) 936-1855
✔ Accepts Medicare1.4 mi
Physical Therapist in Private Practice
NPI 1326343203
1275 N CONVENT ST SUITE 3
Bourbonnais, IL 60914
(815) 936-1855
✔ Accepts Medicare1.4 mi
Physical Therapist in Private Practice
NPI 1396838306
1275 N CONVENT ST SUITE 3
Bourbonnais, IL 60914
(815) 936-1855
✔ Accepts Medicare1.4 mi
Physical Therapist in Private Practice
NPI 1568561074
1275 N CONVENT ST SUITE 3
Bourbonnais, IL 60914
(815) 936-1855
✔ Accepts Medicare1.4 mi
Physical Therapist in Private Practice
NPI 1649598020
1275 N CONVENT ST SUITE 3
Bourbonnais, IL 60914
(815) 936-1855
✔ Accepts Medicare1.4 mi
Physical Therapist in Private Practice
NPI 1184086225
1275 N CONVENT ST
Bourbonnais, IL 60914
(815) 936-1855
✔ Accepts Medicare1.4 mi
Occupational Therapist in Private Practice
NPI 1851777056
400 S KENNEDY DR STE 500
Bradley, IL 60915
(815) 936-0400
✔ Accepts Medicare1.6 mi
Physical Therapist in Private Practice
NPI 1578850632
3420 N 12000W RD
Bonfield, IL 60913
(708) 296-2800
13 mi
Physical Therapist in Private Practice
NPI 1497959647
535 E NORTH ST STE C
Bradley, IL 60915
(815) 802-7503
✔ Accepts Medicare17 mi
Occupational Therapist in Private Practice
NPI 1730365792
535 E NORTH ST STE C
Bradley, IL 60915
(815) 802-7503
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1679679187
2595 E DIVISION ST
Diamond, IL 60416
(815) 634-8420
✔ Accepts Medicare22 mi
Physical Therapist in Private Practice
NPI 1255000824
806 LARAWAY RD
New Lenox, IL 60451
(815) 462-8416
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1750816146
20 LAUREL CT
Crete, IL 60417
(708) 797-3599
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1265629307
806 LARAWAY RD 808
New Lenox, IL 60451
(815) 462-8416
✔ Accepts Medicare23 mi
Physical Therapist in Private Practice
NPI 1518059203
2499 E JOLIET HWY UNIT 112
New Lenox, IL 60451
(630) 462-9420
✔ Accepts Medicare24 mi
Physical Therapist in Private Practice
NPI 1184955171
43 BANKVIEW DR
Frankfort, IL 60423
(815) 469-6676
✔ Accepts Medicare24 mi
Physical Therapist in Private Practice
NPI 1023126687
2534 E LINCOLN HWY
New Lenox, IL 60451
(815) 462-9420
✔ Accepts Medicare24 mi
Physical Therapist in Private Practice
NPI 1194002402
2534 E LINCOLN HWY
New Lenox, IL 60451
(815) 462-9420
✔ Accepts Medicare24 mi
Physical Therapist in Private Practice
NPI 1801187919
508 W JOLIET HWY
New Lenox, IL 60451
(815) 463-1003
✔ Accepts Medicare25 mi
See all 406 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 & Therapeutic Institute Of Bourbonnais, LLC's NPI number?

The NPI number for Athletic & Therapeutic Institute Of Bourbonnais, LLC is 1629397401. It was assigned to this organization in the NPPES registry on May 19, 2010. The provider is also known as Ati Pt.

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

Athletic & Therapeutic Institute Of Bourbonnais, LLC is located at 110 Mooney Dr Suite 5, Bourbonnais, IL 60914. The listed phone number is (815) 936-0611.

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

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Athletic & Therapeutic Institute Of Bourbonnais, LLC enrolled in Medicare?

Yes. Athletic & Therapeutic Institute Of Bourbonnais, LLC is registered in the Medicare PECOS enrollment system.

When is Athletic & Therapeutic Institute Of Bourbonnais, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Athletic & Therapeutic Institute Of Bourbonnais, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 406 clinicians in 2 Medicare specialties reassign their Medicare billing to Athletic & Therapeutic Institute Of Bourbonnais, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (372) and Occupational Therapist in Private Practice (34). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Athletic & Therapeutic Institute Of Bourbonnais, LLC was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.