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ATHLETICO PHYSICAL THERAPY
NPI 1376216192
Clinic/Center in Fort Worth, TX

Active since July 28, 2021
2817 W BERRY ST, FORT WORTH, TX 76109(682) 348-3001(682) 268-5378 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2021, Jul 28, 2021 (2 updates tracked since 2021).

About Athletico Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHLETICO PHYSICAL THERAPY (NPI 1376216192) is a healthcare organization registered as a clinic/center in Fort Worth, Texas and active in the NPI registry since July 2021. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1376216192
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address2817 W BERRY STFort Worth, TX 76109-2303
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980
Phone(682) 348-3001
Fax(682) 268-5378
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateJuly 28, 2021
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
✔ NPI 1376216192 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
2817 W BERRY ST, Fort Worth, TX 76109
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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.

STEPHANIE GASTROCK
Physical Therapist
2817 W BERRY ST
FORT WORTH, TX 76109
Tarrant County (682) 348-3001
MIRANDA TERESA REYNA PT, DPT
Physical Therapist
2817 W BERRY ST
FORT WORTH, TX 76109
Tarrant County (682) 348-3001
RICHARD GORSKI DPT
Physical Therapist
2817 W BERRY ST
FORT WORTH, TX 76109
Tarrant County (682) 348-3001
JHONATAN MONTELONGO DPT
Physical Therapist
2817 W BERRY ST
FORT WORTH, TX 76109
Tarrant County (682) 348-3001

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 1376216192. It was assigned to this organization in the NPPES registry on July 28, 2021. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 2817 W Berry St, Fort Worth, TX 76109. The listed phone number is (682) 348-3001.

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 October 8, 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.