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Organization

ERHARDT PHYSICAL THERAPY AND SPORTS MEDICINE, LLC

Active
Other names
ATI Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization

Contact information

Practice address
51385 SW OLD PORTLAND RD, SUITE E, SCAPPOOSE, OR 97056-4061
(503) 543-7768
(503) 543-7772
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(630) 296-2223
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029022
OR
01
DF4105
RAIL ROAD MEDICARE
OR
Enumeration date
11/14/2006
Last updated
03/24/2026
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