ATHLETICO LTD
NPI 1003419854
Clinic/Center in Libertyville, IL

Q: What is Athletico Ltd's NPI number?

The NPI number for Athletico Ltd is 1003419854. It was assigned to this organization in the NPPES registry on November 16, 2020. The provider is doing business as Athletico Physical Therapy.

Q: What is Athletico Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Athletico Ltd was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2020

1352 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 549-1460(847) 549-1490 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 2, 2025, Nov 16, 2020 (2 updates tracked since 2020).

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About Athletico Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHLETICO LTD (NPI 1003419854), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Libertyville, Illinois and active in the NPI registry since November 2020. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1003419854

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameATHLETICO LTD

Location Address1352 S MILWAUKEE AVELibertyville, IL 60048-3795

Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6200 · Fax (630) 575-7450

Phone(847) 549-1460

Fax(847) 549-1490

Organization SubpartNo

Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980

Enumeration DateNovember 16, 2020

Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1003419854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

1352 S MILWAUKEE AVE, Libertyville, IL 60048

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Other Names 1

Doing Business AsAthletico Physical Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHLEEN C PIAZZI OT

Occupational Therapist (Hand)