Organization
NEW CENTURY REHABILITATION LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
(630) 296-2223
Entity
Organization
Contact information
Practice address
7301 PEAK DRIVE, SUITE 150, LAS VEGAS, NV 89128-9037
(702) 804-0026
(702) 243-4769
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509577
—
NV
01
—
V36510
MEDICARE PTAN - GROUP
NV
Enumeration date
07/06/2006
Last updated
04/15/2025
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