Athletic and Therapeutic Institute of Bourbonnais, LLC
NPI 1124766696 · Durable Medical Equipment & Medical Supplies · Columbia, IL
Enrolled with Medicare as Dme Supplier - Independently-Practicing Physical Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Athletic and Therapeutic Institute of Bourbonnais, LLC is a Durable Medical Equipment & Medical Supplies organization in Columbia, IL (NPI 1124766696).
Provider details
- NPI number
- 1124766696
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Wade Meyer, Vp Chief Compliance Officer(630) 296-2222
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2025-12-31
- Certified
- 2025-12-31
Frequently asked questions
- What is Athletic and Therapeutic Institute of Bourbonnais, LLC's NPI number?
- Athletic and Therapeutic Institute of Bourbonnais, LLC's National Provider Identifier (NPI) is 1124766696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Athletic and Therapeutic Institute of Bourbonnais, LLC?
- Athletic and Therapeutic Institute of Bourbonnais, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Athletic and Therapeutic Institute of Bourbonnais, LLC located?
- Athletic and Therapeutic Institute of Bourbonnais, LLC's practice location on file with NPPES is 1000 Eleven S Ste 1b, Columbia, IL 62236-1078.
- What is Athletic and Therapeutic Institute of Bourbonnais, LLC's phone number?
- The practice phone number listed in the NPPES registry for Athletic and Therapeutic Institute of Bourbonnais, LLC is (618) 281-9699.
- Does Athletic and Therapeutic Institute of Bourbonnais, LLC accept Medicare?
- Athletic and Therapeutic Institute of Bourbonnais, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Athletic and Therapeutic Institute of Bourbonnais, LLC?
- The authorized official listed on Athletic and Therapeutic Institute of Bourbonnais, LLC's NPPES record is Wade Meyer, Vp Chief Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Athletic and Therapeutic Institute of Bourbonnais, LLC's NPI active?
- Yes — Athletic and Therapeutic Institute of Bourbonnais, LLC's NPI (1124766696) is active in the NPPES registry as of the last update on 2025-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.