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ATHLETICO PHYSICAL THERAPY
NPI 1306493507
Clinic/Center in Saint John, IN

Active since August 22, 2019
10081 WICKER AVE #4, SAINT JOHN, IN 46373(219) 627-6445(219) 351-1803 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 28, 2019, Aug 22, 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 1306493507) is a healthcare organization registered as a clinic/center in Saint John, Indiana and active in the NPI registry since August 2019. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1306493507
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address10081 WICKER AVE #4Saint John, IN 46373
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6250 · Fax (630) 575-7450
Phone(219) 627-6445
Fax(219) 351-1803
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateAugust 22, 2019
Last NPPES UpdateAugust 28, 20192 updates tracked since enumeration
✔ NPI 1306493507 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

Other Names 2

Doing Business AsAthletico Physical Therapy
Doing Business AsAthleico 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

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 1306493507. It was assigned to this organization in the NPPES registry on August 22, 2019. The provider is doing business as Athletico Physical Therapy and Athleico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 10081 Wicker Ave #4, Saint John, IN 46373. The listed phone number is (219) 627-6445.

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 August 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.