| Athletic And Therapeutic Institute Of Naperville, Llc | |
|
1738 165th St, Suite A, Hammond, IN 46320-2821 | |
| (219) 844-1782 | |
| (219) 844-1830 |
| Full Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1738 165th St, Hammond, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023313194 | NPI | - | NPPES |
| DR5600 | Other | IN | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Barbara M Vanderwoude |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265488753 PECOS PAC ID: 6507763547 Enrollment ID: I20031217000516 |
| Provider Name | Donna J Cochran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871533885 PECOS PAC ID: 9032018908 Enrollment ID: I20040108000820 |
| Provider Name | Omar H Ferrario |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518039874 PECOS PAC ID: 5890788855 Enrollment ID: I20040406000300 |
| Provider Name | James E Dye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366642688 PECOS PAC ID: 6204813082 Enrollment ID: I20040630000316 |
| Provider Name | Christine M Borders |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285646810 PECOS PAC ID: 6103884044 Enrollment ID: I20041227000046 |
| Provider Name | Mark Murzyn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275573859 PECOS PAC ID: 5597719096 Enrollment ID: I20050308000807 |
| Provider Name | Judith D Nueros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033188867 PECOS PAC ID: 7214976299 Enrollment ID: I20050428000900 |
| Provider Name | Travis Lee Sharp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538279898 PECOS PAC ID: 8022048032 Enrollment ID: I20050819000138 |
| Provider Name | Christina L Reasoner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528166477 PECOS PAC ID: 4981624079 Enrollment ID: I20051205000428 |
| Provider Name | Krystyna H Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366505851 PECOS PAC ID: 5698777886 Enrollment ID: I20070131000462 |
| Provider Name | Nicole Bolda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255355780 PECOS PAC ID: 3577565258 Enrollment ID: I20070208000537 |
| Provider Name | Renata Edyta Plata-pniak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629005533 PECOS PAC ID: 3476652306 Enrollment ID: I20070619000125 |
| Provider Name | Michael J Nickeas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386759009 PECOS PAC ID: 8628161692 Enrollment ID: I20070906000756 |
| Provider Name | David Ray Newbolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881731818 PECOS PAC ID: 3173615994 Enrollment ID: I20070911000781 |
| Provider Name | Liwayway C Arevalo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326129719 PECOS PAC ID: 9133205214 Enrollment ID: I20080331000009 |
| Provider Name | Joel M Hobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962632018 PECOS PAC ID: 4486700903 Enrollment ID: I20090924000004 |
| Provider Name | Artur Pniak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598938730 PECOS PAC ID: 8527191832 Enrollment ID: I20100805000961 |
| Provider Name | Mohammed H Motawea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700990645 PECOS PAC ID: 2062570906 Enrollment ID: I20101019000299 |
| Provider Name | Janet D Kelly |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679665046 PECOS PAC ID: 5496940892 Enrollment ID: I20101111000160 |
| Provider Name | Laura L Labonne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023348737 PECOS PAC ID: 3072708072 Enrollment ID: I20101116001117 |
| Provider Name | Elaine M Stenslik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184925638 PECOS PAC ID: 2466630306 Enrollment ID: I20110624000265 |
| Provider Name | Lauren M Bruce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023321577 PECOS PAC ID: 0749473643 Enrollment ID: I20110907000841 |
| Provider Name | Jennifer Marie Sobek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427301720 PECOS PAC ID: 5698920882 Enrollment ID: I20130218000517 |
| Provider Name | Beth A Risner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801138532 PECOS PAC ID: 4981844685 Enrollment ID: I20130701000037 |
| Provider Name | Angela Drury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720427628 PECOS PAC ID: 5092959049 Enrollment ID: I20130913000380 |
| Provider Name | Ashley A Sartori |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770888711 PECOS PAC ID: 4385827468 Enrollment ID: I20131015001789 |
| Provider Name | Katherine Lombardi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699060103 PECOS PAC ID: 7315118254 Enrollment ID: I20140124000365 |
| Provider Name | Christine A Nelms |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912305392 PECOS PAC ID: 1153645007 Enrollment ID: I20150123001219 |
| Provider Name | Amie M Carns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841510146 PECOS PAC ID: 4385811140 Enrollment ID: I20151105000146 |
| Provider Name | Eric Messmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609094366 PECOS PAC ID: 4082924824 Enrollment ID: I20151109000181 |
| Provider Name | Anda Kristine Zavada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235506940 PECOS PAC ID: 0446555163 Enrollment ID: I20160217002403 |
| Provider Name | Darnisha Hudson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881041705 PECOS PAC ID: 0042500225 Enrollment ID: I20160531001052 |
| Provider Name | Lucas Gaspar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417356890 PECOS PAC ID: 9234429200 Enrollment ID: I20160602002258 |
| Provider Name | Steven M Desantiago |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942753777 PECOS PAC ID: 2466746003 Enrollment ID: I20160804002092 |
| Provider Name | Roland Saucier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366894495 PECOS PAC ID: 6002101193 Enrollment ID: I20160829002046 |
| Provider Name | Jennifer Leigh Bradsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407813504 PECOS PAC ID: 9133401755 Enrollment ID: I20170116000531 |
| Provider Name | Matthew Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841725231 PECOS PAC ID: 1153698659 Enrollment ID: I20170605002842 |
| Provider Name | Bailey Boicken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912423864 PECOS PAC ID: 1355616301 Enrollment ID: I20171002002340 |
| Provider Name | Anna Nelsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962412171 PECOS PAC ID: 0840299061 Enrollment ID: I20171003007266 |
| Provider Name | Jonathan R Cultura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568974087 PECOS PAC ID: 3476819665 Enrollment ID: I20171103000585 |
| Provider Name | Sara Griffin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356852149 PECOS PAC ID: 2860758737 Enrollment ID: I20171108003469 |
| Provider Name | Kimberly S Matthews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417145319 PECOS PAC ID: 3274620430 Enrollment ID: I20180405000273 |
| Provider Name | Josephine P Corrales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518458850 PECOS PAC ID: 5991052102 Enrollment ID: I20180719000644 |
| Provider Name | Jennifer A Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811098387 PECOS PAC ID: 9234107616 Enrollment ID: I20180918003619 |
| Provider Name | Steven Arthur Buehring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437464054 PECOS PAC ID: 0547459208 Enrollment ID: I20181205000458 |
| Provider Name | Rolanda Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013573690 PECOS PAC ID: 3173857265 Enrollment ID: I20190624001717 |
| Provider Name | Shannon Ray Mcallister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164935128 PECOS PAC ID: 5890022412 Enrollment ID: I20190806000144 |
| Provider Name | Kevin M Majchrzak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942865423 PECOS PAC ID: 4082946769 Enrollment ID: I20191030000336 |
| Provider Name | Abel Dafiaghor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124212451 PECOS PAC ID: 2163509951 Enrollment ID: I20200212001449 |
| Provider Name | Miranda Lipp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437782620 PECOS PAC ID: 3375971195 Enrollment ID: I20200310000709 |
| Provider Name | Rachel Scrementi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649578097 PECOS PAC ID: 8921264631 Enrollment ID: I20200814001218 |
| Provider Name | Ganiyu Azeez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982808747 PECOS PAC ID: 6406953520 Enrollment ID: I20201202000518 |
| Provider Name | Melissa Tsirtsis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194492520 PECOS PAC ID: 6901201219 Enrollment ID: I20210825001977 |
| Provider Name | Danielle Marie Costantini |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548889199 PECOS PAC ID: 0345636494 Enrollment ID: I20220330000480 |
| Provider Name | Grace Withrow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346972015 PECOS PAC ID: 4789064502 Enrollment ID: I20220711000345 |
| Provider Name | Magdy Dous |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033838800 PECOS PAC ID: 6608251293 Enrollment ID: I20220919000624 |
| Provider Name | Katelyn Halbig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407599186 PECOS PAC ID: 1052770146 Enrollment ID: I20230707001649 |
| Provider Name | Dhruv Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437913894 PECOS PAC ID: 1153765128 Enrollment ID: I20240217000122 |
| Provider Name | Joshua Mcbryde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275398836 PECOS PAC ID: 9537506340 Enrollment ID: I20240618001525 |
| Provider Name | Caroline Averette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205690914 PECOS PAC ID: 6002254182 Enrollment ID: I20240619000683 |
| Provider Name | Carlos Dejesus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639482938 PECOS PAC ID: 8820531395 Enrollment ID: I20240625002464 |
| Provider Name | Jasmine Smyles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346005360 PECOS PAC ID: 9032555602 Enrollment ID: I20241007001009 |
| Provider Name | Vera Boyko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912608787 PECOS PAC ID: 7416485263 Enrollment ID: I20250108000929 |
| Provider Name | Nerissa Lim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336970938 PECOS PAC ID: 7810414851 Enrollment ID: I20250503000119 |
| Provider Name | Caitlin Kaufman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922722156 PECOS PAC ID: 8527434539 Enrollment ID: I20250506000703 |
| Mailing Address | Practice Location Address |
|---|---|
| Athletic And Therapeutic Institute Of Naperville, Llc 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Athletic And Therapeutic Institute Of Naperville, Llc 1738 165th St, Suite A, Hammond, IN 46320-2821 Ph: (219) 844-1782 |
Magdy Dous, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1738 165th St Ste A, Hammond, IN 46320 Phone: 219-844-1782 | |
Anita Evette Hudson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5454 Hohman Ave, Hammond, IN 46320 Phone: 219-932-2300 | |
Magdalena Grzywa, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1738 165th St Ste A, Hammond, IN 46320 Phone: 219-844-1782 | |
Landmark Physical Therapy & Rehabilitation Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6414a Calumet Ave, Hammond, IN 46324 Phone: 219-803-7780 Fax: 219-803-7782 | |
Khaled Gad, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7400 Columbia Ave, Hammond, IN 46324 Phone: 219-803-4483 Fax: 219-937-2522 | |
Mrs. Nancy Jane Winiecki, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7443 Indianapolis Blvd, Hammond, IN 46324 Phone: 219-844-8100 Fax: 219-844-7460 |