# ATI HOLDING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATI PHYSICAL THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295347649
- **Authorized official:** MR. MATT KIRK (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (708) 710-9931

## Contact information

- **Practice address:** 212 ROSEWICK RD, LA PLATA, MD 20646-4216
- **Practice address phone:** (240) 776-6900
- **Practice address fax:** (240) 261-5321
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
- **Mailing address phone:** (630) 296-2223
- **Mailing address fax:** (630) 759-3251

## 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:** 08/18/2020
- **Last updated:** 08/18/2020