ATHLETICO LTD
NPI 1053027888
Clinic/Center in Ecru, MS

Active since January 25, 2023
5532 HIGHWAY 15 N STE 4, ECRU, MS 38841(662) 489-4418(662) 489-4486 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Athletico Ltd NPPES

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

ATHLETICO LTD (NPI 1053027888), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Ecru, Mississippi and active in the NPI registry since January 2023. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1053027888
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address5532 HIGHWAY 15 N STE 4Ecru, MS 38841-8481
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980 · Fax (630) 928-5080
Fax(662) 489-4486
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
NPI 1053027888 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
5532 HIGHWAY 15 N STE 4, Ecru, MS 38841

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

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

Physical Therapist
5532 HIGHWAY 15 N STE 4
ECRU, MS 38841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athletico Ltd's NPI number?

The NPI number for Athletico Ltd is 1053027888. It was assigned to this organization in the NPPES registry on January 25, 2023. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 5532 Highway 15 N Ste 4, Ecru, MS 38841. The listed phone number is (662) 489-4418.

What is Athletico Ltd's specialty?

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

When was this NPI record last updated?

The NPPES record for Athletico Ltd was last updated on January 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.