# ATI HOLDING LLC

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

## Provider details

- **NPI number:** 1386102978
- **Authorized official:** MATT KIRK (DIRECTOR)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 2400 BOSTON ST STE 114, BALTIMORE, MD 21224-4780
- **Practice address phone:** (410) 826-6585
- **Practice address fax:** (410) 826-6586
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
- **Mailing address phone:** (630) 296-2222
- **Mailing address fax:** (630) 759-9510

## 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:** 03/04/2019
- **Last updated:** 03/04/2019