ATHLETICO LTD NPI 1003419854

Clinic/Center in Libertyville, IL

NPI 1003419854 Organization Clinic/Center

About ATHLETICO LTD

Athletico Ltd is a provider established in Libertyville, Illinois specializing in clinic/center. The NPI number of Athletico Ltd is 1003419854 and was assigned on November 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Athletico Ltd operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Juana Granados (Credentialing Manager)

NPI

1003419854

Provider NameATHLETICO LTD
Provider Location Address1352 S MILWAUKEE AVE LIBERTYVILLE, IL 60048
Provider Mailing Address600 OAKMONT LN STE 600C WESTMONT, IL 60559
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-16-2020
Last Update Date11-16-2020


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
Taxonomy DescriptionA 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).

Business Address

ATHLETICO LTD
1352 S MILWAUKEE AVE
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 549-1460
Fax: (847) 549-1490

Get Directions


Mailing Address

ATHLETICO LTD
600 OAKMONT LN STE 600C
WESTMONT, IL
ZIP 60559
Phone: (630) 575-6250
Fax: (630) 575-7450



Authorized Official

Authorized Official Name JUANA GRANADOS
Authorized Official TitleCREDENTIALING MANAGER
Authorized Official Phone(630) 575-1980

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNo

Taxonomy Description: physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNo

Taxonomy Description: an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013065705MRS. KATHLEEN C PIAZZI OT
Individual
Occupational Therapist (Hand)1352 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
(847) 549-1460
1811390156ACCELERATED REHABILITATION CENTERS LTD
Organization
Occupational Therapist1352 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
(847) 549-1460
1104251214DR. MELISSA FRANK DPT
Individual
Physical Therapist1352 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
(847) 549-1460
1669820775MRS. NICOLE RENE THUROW PT , DPT
Individual
Physical Therapist1352 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
(847) 549-1460
1467044875 EMILY M ZIEGER DPT
Individual
Physical Therapist1352 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
(847) 549-1460
1184291676 TAYLOR A GENIS OT
Individual
Occupational Therapist1352 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
(847) 549-1460

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.