# PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

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

## Provider details

- **NPI number:** 1447445523
- **Authorized official:** WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 300 BIRNIE AVE, SUITE 304, SPRINGFIELD, MA 01107
- **Practice address phone:** (413) 781-1054
- **Practice address fax:** (413) 439-0026
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
- **Mailing address phone:** (630) 296-2223
- **Mailing address fax:** (630) 759-9510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | MA | — |
| 2251H1200X | Hand Physical Therapist | — | MA | — |
| 225X00000X | Occupational Therapist | — | MA | Yes |
| 225XH1200X | Hand Occupational Therapist | — | MA | — |

## Other

- **Enumeration date:** 09/11/2007
- **Last updated:** 10/31/2024