# ATI HOLDING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATI Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003391806
- **Authorized official:** LYNN MCGIVERN (CCO)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 1510 ROCK SPRING RD, FOREST HILL, MD 21050-2851
- **Practice address phone:** (410) 420-3619
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 09/27/2018
- **Last updated:** 09/27/2018