Organization
ATHLETIC & THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
WADE A MEYER (AUTHORIZED OFFICIAL)
(630) 296-2223
Entity
Organization
Contact information
Practice address
411 E WISCONSIN AVE STE 500, MILWAUKEE, WI 53202-4463
(414) 831-1150
(414) 272-9594
Mailing address
4947 PAYSPHERE CIR, CHICAGO, IL 60674-0049
(630) 296-2222
(630) 759-6106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41231700
—
WI
01
—
611826606
DEPARTMENT OF LABOR PROVIDER NUMBER
WI
Enumeration date
08/30/2007
Last updated
03/13/2024
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