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ATHLETICO PHYSICAL THERAPY
NPI 1396105581
Clinic/Center in Grand Rapids, MI

Active since March 01, 2016
5925 28TH ST SE, GRAND RAPIDS, MI 49546(616) 977-5700(630) 928-5032 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 9, 2020, Mar 1, 2016 (2 updates tracked since 2016).

About Athletico Physical Therapy NPPES

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

ATHLETICO PHYSICAL THERAPY (NPI 1396105581) is a healthcare organization registered as a clinic/center in Grand Rapids, Michigan and active in the NPI registry since March 2016. The organization lists Juana Granados, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1396105581
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATHLETICO LTD
Location Address5925 28TH ST SEGrand Rapids, MI 49546-6955
Mailing Address600 Oakmont Ln Ste 600cWestmont, IL 60559-5548 · (630) 575-6250 · Fax (630) 575-7450
Phone(616) 977-5700
Fax(630) 928-5032
Organization SubpartNo
Authorized OfficialJuana GranadosCredentialing Manager · (630) 575-1980
Enumeration DateMarch 1, 2016
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1396105581 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
5925 28TH ST SE, Grand Rapids, MI 49546
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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.

LESLEY BAUER DPT
Physical Therapist
5925 28TH ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 977-5700
SCOTT SNYDER DPT
Physical Therapist
5925 28TH ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 977-5700
BRADLEY THOMAS ZIELASKOWSKI DPT
Physical Therapist
5925 28TH ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 977-5700
CAMPBELL ALBAUGH DPT
Physical Therapist
5925 28TH ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 977-5700

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 1396105581. It was assigned to this organization in the NPPES registry on March 1, 2016. The provider is doing business as Athletico Physical Therapy.

Where is Athletico Ltd located?

Athletico Ltd is located at 5925 28th St SE, Grand Rapids, MI 49546. The listed phone number is (616) 977-5700.

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 March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.