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ATHLETICO PHYSICAL THERAPY
NPI 1104382464
Clinic/Center in Ann Arbor, MI

Active since February 12, 2019
4860 WASHTENAW AVE, ANN ARBOR, MI 48108(734) 489-7995(734) 800-2155 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2020, Feb 12, 2019 (2 updates tracked since 2019).

About Athletico Physical Therapy NPPES

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

ATHLETICO PHYSICAL THERAPY (NPI 1104382464) is a healthcare organization registered as a clinic/center in Ann Arbor, Michigan and active in the NPI registry since February 2019. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104382464
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address4860 WASHTENAW AVEAnn Arbor, MI 48108-3401
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6200 · Fax (630) 928-5080
Phone(734) 489-7995
Fax(734) 800-2155
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateFebruary 12, 2019
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1104382464 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
4860 WASHTENAW AVE, Ann Arbor, MI 48108
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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 3

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

J.A. CONSULTANTS, LLC
Nurse Practitioner (Adult Health)
4860 WASHTENAW AVE, SUITE 1-103
ANN ARBOR, MI 48108
Washtenaw County (734) 821-5699
ANGEL CARE TRANSPORTATION, LLC.
Non-emergency Medical Transport (VAN)
4860 WASHTENAW AVE, SUITE # I-111
ANN ARBOR, MI 48108
Washtenaw County (734) 340-5475
DENTAL HOUSE - ANN ARBOR PLLC
Clinic/Center (Dental)
4860 WASHTENAW AVE
ANN ARBOR, MI 48108
Washtenaw County (804) 539-6622

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 1104382464. It was assigned to this organization in the NPPES registry on February 12, 2019. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 4860 Washtenaw Ave, Ann Arbor, MI 48108. The listed phone number is (734) 489-7995.

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 March 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.