ATHLETICO PHYSICAL THERAPY
NPI 1255715702
Clinic/Center in Jackson, MI
- Organization
- Clinic/Center
About ATHLETICO PHYSICAL THERAPY
This page provides the complete NPI Profile along with additional information for Athletico Physical Therapy, a provider established in Jackson, Michigan operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1255715702 assigned on July 2015. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Athletico Physical Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Athletico Physical Therapy. The authorized official of this NPI record is Juana Granados (Credentialing Manager)
- NPI
- 1255715702 Verify this NPI
- Provider Legal Name
- ATHLETICO LTD
- Other Organization Name
- ATHLETICO PHYSICAL THERAPY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2973 SPRINGPORT ROAD JACKSON, MI 49201
- Location Phone
- (517) 435-3461
- Mailing Address
- 600 OAKMONT LN STE 600C WESTMONT, IL 60559
- Mailing Phone
- (630) 575-1980
- Mailing Fax
- (630) 928-5080
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2015
- Last Update Date
- 03-09-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255715702, enumerated as an "organization" on July 15, 2015.
The provider is located at 2973 SPRINGPORT ROAD JACKSON, MI 49201 and the phone number is (517) 435-3461.
Clinic/Center with taxonomy code 261Q00000X.
