ATHLETICO LTD
NPI 1366109852
Clinic/Center in Lebanon, IN
- Organization
- Clinic/Center
About ATHLETICO LTD
This page provides the complete NPI Profile along with additional information for Athletico Ltd, a provider established in Lebanon, Indiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1366109852 assigned on November 2021. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Juana Granados (Credentialing Manager)
- NPI
- 1366109852 Verify this NPI
- Provider Name
- ATHLETICO LTD
- Entity Type
- Organization
- Location Address
- 1519 W SOUTH ST STE 300 LEBANON, IN 46052
- Location Phone
- (765) 335-3355
- Location Fax
- (765) 485-9073
- Mailing Address
- 2122 YORK RD STE 300 OAK BROOK, IL 60523
- Mailing Phone
- (630) 575-1980
- Mailing Fax
- (630) 928-5080
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-19-2021
- Last Update Date
- 11-19-2021
- 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 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366109852, enumerated as an "organization" on November 19, 2021.
The provider is located at 1519 W SOUTH ST STE 300 LEBANON, IN 46052 and the phone number is (765) 335-3355.
Clinic/Center with taxonomy code 261Q00000X.
