Vidit Atul Phanse
Vidit Atul Phanse is registered under Physical Therapist in Private Practice in Lockport, Illinois. Qualified in 2015, 11 years ago. Practices with Athletic and Therapeutic Institute of Bourbonnais, LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Illinois and North Carolina.
- Years since qualifying
- 11
- Licensed in
- IL, NC
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1065 E 9th StLockport, IL 60441-3567
Phone: (815) 588-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070022922 (IL) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence P23372 (NC) |
Record details
| NPI number | 1043731540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 5, 2017 |
| Last updated in NPPES | March 6, 2026 |
| Certification date | March 6, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Athletic And Therapeutic Institute Of Bourbonnais, Llc — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 147 |
|---|---|
| Services billed | 4,349 |
| Average patient age | 74 |
Colleagues at Athletic and Therapeutic Institute of Bourbonnais, LLC
- Caitlin Betancourt Physical Therapist · Joliet, IL
- Kerri Boardman, PT Physical Therapist · Shorewood, IL
- Sarah Bugajski Physical Therapist · Urbana, IL
- Marlou Gregorio Physical Therapist · Des Plaines, IL
- Jason Hanks, DPT Physical Therapist · Sandwich, IL
- Bradley Lohbeck, DPT Physical Therapist · Dedham, MA
- Samantha Marconi, DPT Physical Therapist · Naperville, IL
- Makenzie Miller Occupational Therapist · Joliet, IL
- Philip M Raatz Physical Therapist · Rockford, IL
- Christopher Rose, MPT Physical Therapist · Rockford, IL
- Benjamin S Roth Physical Therapist · Le Roy, IL
- Alicia Sutton Physical Therapist · Waterloo, IL
Other providers in Lockport
-
Valerie R Miller, PT
15043 Austin Dr, Lockport, IL 60441-1330 · (815) 405-7990
-
Mansi Shashikant Mohite, DPT
1065 E 9th St, Lockport, IL 60441-3567 · (815) 588-1366
-
Daniel Murphy, PT
1147 E 9th St, Lockport, IL 60441-3219 · (815) 834-9901
-
Occusport Services Inc
420 Summit Dr, Lockport, IL 60441-3241 · (815) 836-3780
-
Donna M Sauder, PT
1065 E 9th St, Lockport, IL 60441-3567 · (815) 588-1366
-
Kelly A Shaw, DPT
1147 E 9th St, Lockport, IL 60441-3219 · (815) 834-9901
-
Lauren Shepley, PT
16618 W 159th St Ste 402, Lockport, IL 60441-8011 · (815) 838-0529
-
Dr. Kayla Lane Sierzega, PT, DPT
16109 S Farrell Rd, Lockport, IL 60441-8200 · (815) 306-4781