MEDICARE: ATI HOLDINGS OF ARIZONA, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	261QP2000X	Physical Therapy Clinic/Center
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1871570309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATI HOLDINGS OF ARIZONA, 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	:	630-296-2222
Fax Number	:	480-222-1457

Provider Business Practice Location Address
First Line	:	706 E BELL RD STE 121
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-6655
Country	:	US
Telephone Number	:	602-795-8441
Fax Number	:	602-795-8447

Authorized Official
Title or Position	:	VP CHIEF COMPLIANCE OFFICER
Name	:	WADE A MEYER
Credential	:
Telephone Number	:	630-296-2223

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	03/24/2026

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