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ATHLETICO LTD
NPI 1154081040
Clinic/Center in Fort Wayne, IN

Active since December 20, 2021
4826 ILLINOIS RD, FORT WAYNE, IN 46804(260) 209-1340(260) 247-7112 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Athletico Ltd NPPES

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

ATHLETICO LTD (NPI 1154081040), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Fort Wayne, Indiana and active in the NPI registry since December 2021. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1154081040
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address4826 ILLINOIS RDFort Wayne, IN 46804-1166
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980 · Fax (630) 928-5080
Phone(260) 209-1340
Fax(260) 247-7112
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1154081040 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
4826 ILLINOIS RD, Fort Wayne, IN 46804
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Other Names 1

Doing Business AsAthletico Physical Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

EYECARE EXPRESS
Optometrist
4826 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 434-2021
ROBERT J NORTON PT
Physical Therapist
4826 ILLINOIS RD
FORT WAYNE, IN 46804
Allen County (260) 209-1340

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 1154081040. It was assigned to this organization in the NPPES registry on December 20, 2021. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 4826 Illinois Rd, Fort Wayne, IN 46804. The listed phone number is (260) 209-1340.

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 December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.