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ATHLETICO LTD
NPI 1225608359
Clinic/Center in Southlake, TX

Active since June 30, 2021
480 W SOUTHLAKE BLVD STE 111, SOUTHLAKE, TX 76092(817) 778-9910(817) 203-0337 Get Directions Write a Review

NPPES record last updated: June 30, 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 1225608359), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Southlake, Texas and active in the NPI registry since June 2021. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1225608359
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address480 W SOUTHLAKE BLVD STE 111Southlake, TX 76092-6167
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6250 · Fax (630) 575-7450
Phone(817) 778-9910
Fax(817) 203-0337
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1225608359 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
480 W SOUTHLAKE BLVD STE 111, Southlake, TX 76092
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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 4

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

MARJORIE ROSE OLGIN OTR
Occupational Therapist
480 W SOUTHLAKE BLVD STE 111
SOUTHLAKE, TX 76092
Tarrant County (817) 778-9920
DARDHIELLE JEAN OTR/L
Occupational Therapist (Hand)
480 W SOUTHLAKE BLVD STE 111
SOUTHLAKE, TX 76092
Tarrant County (817) 778-9910
LESLEY COLE HEDLUND OT
Occupational Therapist
480 W SOUTHLAKE BLVD STE 111
SOUTHLAKE, TX 76092
Tarrant County (817) 778-9910
SARA GUNNOE DPT
Physical Therapist
480 W SOUTHLAKE BLVD STE 111
SOUTHLAKE, TX 76092
Tarrant County (817) 778-9910

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 1225608359. It was assigned to this organization in the NPPES registry on June 30, 2021. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 480 W Southlake Blvd Ste 111, Southlake, TX 76092. The listed phone number is (817) 778-9910.

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 June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.