Athletic & Therapeutic Institute of Bourbonnais, LLC
NPI 1629397401ActiveOrganization· Physical Therapist· Bourbonnais, IL
Physical Therapist in Bourbonnais, Illinois, registered in NPPES in May 2010. The authorized official on file is Lynn McGivern, Cco.
Overview
| NPI | 1629397401 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2010 |
| Last updated in NPPES | Feb 18, 2022 |
| Certified by provider | Feb 18, 2022 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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