MEDICARE: ATI HOLDINGS MISSOURI, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1609277946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATI HOLDINGS MISSOURI, LLC

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:	630-296-2223
Fax Number	:

Provider Business Practice Location Address
First Line	:	4418 TELEGRAPH RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-3316
Country	:	US
Telephone Number	:	314-894-2222
Fax Number	:

Authorized Official
Title or Position	:	VP CHIEF COMPLIANCE OFFICER
Name	:	WADE A MEYER
Credential	:
Telephone Number	:	630-296-2222

Provider Enumeration Date	:	09/05/2014
Last Update Date	:	03/24/2026

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