# ATI HOLDINGS, LLC

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

## Provider details

- **NPI number:** 1497137293
- **Authorized official:** LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 4853 PULASKI HWY STE 315, PERRYVILLE, MD 21903-1606
- **Practice address phone:** (443) 693-8000
- **Practice address fax:** (410) 642-2581
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
- **Mailing address phone:** (630) 296-2223

## 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:** 06/29/2015
- **Last updated:** 06/29/2015