# ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC

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

## Provider details

- **NPI number:** 1619252236
- **Authorized official:** LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 2330 N FARWELL AVE, MILWAUKEE, WI 53211-4401
- **Practice address phone:** (414) 220-9084
- **Practice address fax:** (414) 220-9082
- **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:** 10/14/2011
- **Last updated:** 03/22/2012