ATHLETICO LTD
NPI 1366109852
Clinic/Center in Lebanon, IN

Active since November 19, 2021
1519 W SOUTH ST STE 300, LEBANON, IN 46052(765) 335-3355(765) 485-9073 Get Directions Write a Review

NPPES record last updated: November 19, 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 1366109852), doing business as Athletico Physical Therapy, is a healthcare organization registered as a clinic/center in Lebanon, Indiana and active in the NPI registry since November 2021. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1366109852
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address1519 W SOUTH ST STE 300Lebanon, IN 46052-2371
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980 · Fax (630) 928-5080
Fax(765) 485-9073
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
NPI 1366109852 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
1519 W SOUTH ST STE 300, Lebanon, IN 46052

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 3

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

Physical Therapist
1519 W SOUTH ST STE 300
LEBANON, IN 46052
Physical Therapist
1519 W SOUTH ST STE 300
LEBANON, IN 46052
Physical Therapist
1519 W SOUTH ST STE 300
LEBANON, IN 46052

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 1366109852. It was assigned to this organization in the NPPES registry on November 19, 2021. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 1519 W South St Ste 300, Lebanon, IN 46052. The listed phone number is (765) 335-3355.

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 November 19, 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.