# ATI HOLDING LLC

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

## Provider details

- **NPI number:** 1942785845
- **Authorized official:** LYNN MCGIVERN (CCO)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 10666 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1307
- **Practice address phone:** (240) 492-0643
- **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 |

## Other

- **Enumeration date:** 09/27/2018
- **Last updated:** 09/27/2018
