OrganizationActive
Athletic & Therapeutic Institute of Bourbonnais, LLC
NPI 1083937056 · Physical Therapist · Minooka, IL
Provider details
- NPI number
- 1083937056
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Wade Meyer, Chief Compliance Officer(630) 296-2223
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2081 Ridge Rd
Suite101
Minooka, IL 60447-8848
Phone: (815) 467-1612
Fax: (815) 467-1866
Street-level locationGet directions
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other names (DBA / former)
- Doing business as
- Ati Physical Therapy
- Other name
- Ati of Minooka
Registry dates
- Enumerated
- 2010-03-05
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.