Athletic & Therapeutic Institute of Bourbonnais, LLC
NPI 1083937056ActiveOrganization· Physical Therapist· Minooka, IL
Physical Therapist in Minooka, Illinois, registered in NPPES in March 2010. The authorized official on file is Wade A. Meyer, Chief Compliance Officer.
Overview
| NPI | 1083937056 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2010 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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