ATI Physical Therapy – Physical Therapy Clinic/Center, NPI 1396781050
Physical Therapy Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ATI Physical Therapy
1812 Marsh Rd
store 505
Wilmington, DE 198104581
Phone: (302) 793-1800
Fax: (302) 793-0800
Type: Location
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2223
Fax: (630) 759-3251
Type: Mailing
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 605151211
Phone: (630) 296-2222
Fax: (630) 759-9510
Type: Mailing
Rising Sun, Glacier County, Montana, United States
RISING SUN, MD 219111902
Phone: (410) 297-8141
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
5
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060727000214 | O | Physical/Occupational Therapy Group In Private Practice | PA | TBD |
| O20061020000349 | O | Clinic/Group Practice | MD | 2023-12-31 |
| O20061023000321 | O | Physical/Occupational Therapy Group In Private Practice | MD | TBD |
| O20061101000380 | O | Physical/Occupational Therapy Group In Private Practice | DE | TBD |
| O20140610001109 | O | Physical/Occupational Therapy Group In Private Practice | DC | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19810)
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