Athletic & Therapeutic Institute of Bourbonnais, LLC
NPI 1306177910ActiveOrganization· Physical Therapist· Bloomingdale, IL
Physical Therapist in Bloomingdale, Illinois, registered in NPPES in January 2010. The authorized official on file is Wade A. Meyer, Chief Compliance Officer.
Overview
| NPI | 1306177910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 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 · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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